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Individual

MR. JAMES FRANK WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
1319 WEST CARSON STREET, TORRANCE, CA 90501-3909
(310) 320-5777
(310) 320-6341
Mailing address
1319 WEST CARSON STREET, TORRANCE, CA 90501-3909
(310) 320-5777
(310) 320-6341

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1583
CA
174400000X
Specialist
CO001583
222Z00000X
Orthotist
Primary
CO001583

Other

Enumeration date
03/14/2007
Last updated
08/01/2012
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