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Individual

ANTHONY JUSTIN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1460 E BELL RD APT 3036, PHOENIX, AZ 85022-7703
(931) 278-7131
Mailing address
1460 E BELL RD APT 3036, PHOENIX, AZ 85022-7703
(931) 278-7131

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28170
AZ

Other

Enumeration date
07/04/2022
Last updated
07/04/2022
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