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Individual

CHAD EVERETT WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 928-7747
Mailing address
4000 W METROPOLITAN DR STE 401, ORANGE, CA 92868-3506
(714) 935-6117

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
07/10/2024
Last updated
07/15/2025
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