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Edward Wilson
Voluntary or Charitable Agency in Long Beach, California
NPI 1740668995

Edward Wilson is a Voluntary or Charitable Agency based in Long Beach, CA. Edward Wilson practices in Long Beach, CA. The NPI Number for Edward Wilson is 1740668995 and holds a License No. (California).

The current practice location address for Edward Wilson is 1955 Long Beach Blvd, Long Beach, CA and can be reached out via phone at 562-320-2426.

Location: 1955 Long Beach Blvd, Long Beach, CA, 90802-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740668995
Provider Name
Edward Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1955 Long Beach Blvd, Long Beach, CA, 90802-4431
Phone Number
562-320-2426
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1955 Long Beach Blvd
City
Long Beach
State
California
Zip
90806-5501
Phone Number
562-320-2426
Fax Number
person
Provider Business Mailing Address Details
Address
1955 Long Beach Blvd
City
Long Beach
State
California
Zip
90806-5501
Phone Number
562-320-2426
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
()
Definition
Definition to come...
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