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Organization
B. GALE WILSON MTU
Active
Organization
B. GALE WILSON MTU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEKA JONES-ESPY (PHN MANAGER)
(707) 784-8653
Entity
Organization
Contact information
Practice address
3305 CHERRY HILLS CT, FAIRFIELD, CA 94534-7870
(707) 784-8650
(707) 421-7484
Mailing address
275 BECK AVE # MS 5-175, FAIRFIELD, CA 94533-6804
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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