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Individual
DR. JAMES BRADLEY WILSON JR.
Active
Individual
DR. JAMES BRADLEY WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS 7986
FLORIDA LISCENSE
FL
Enumeration date
06/12/2006
Last updated
08/05/2020
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