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Individual

DAVID WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, CMT

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
19883
OR
172M00000X
Mechanotherapist
9196
CA

Other

Enumeration date
06/02/2014
Last updated
06/02/2014
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