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Individual
MR. KINNITH DALE WILKINSON JR.
Active
Individual
MR. KINNITH DALE WILKINSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15525
CA
Other
Enumeration date
02/06/2007
Last updated
08/24/2021
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