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Individual

JAMES P WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2000 W PIONEER PKWY, SUITE 23, PEORIA, IL 61615-1835
(309) 690-3336
Mailing address
2000 W PIONEER PKWY, SUITE 23, PEORIA, IL 61615-1835
(309) 690-3336

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IL

Other

Enumeration date
06/30/2006
Last updated
02/07/2008
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