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Individual
MICHAEL C. WILSON
Active
Individual
MICHAEL C. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
MW21240499P
IL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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