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Dr. James Raymond Wilson, D.C.

Chiropractor in Lodi, CA. Individual provider (NPI-1).

NPI number1417023474
StatusActive
Last updated in NPPESOct 21, 2009

Details

NPI
1417023474
Entity type
Individual (NPI-1)
Name
Dr. James Raymond Wilson
Credential
D.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 28, 2006
Last updated
Oct 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorDC30022CAYes

Practice location

2000 W Kettleman Ln
Suite 104
Lodi, CA 95242-4334

Phone 209-334-6947 · Fax 209-334-6969

Mailing address

Po Box 986
Woodbridge, CA 95258-0986

Phone 209-339-9036 · Fax 209-339-1901

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