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1013013697
MONTE WILSON
LAS VEGAS, NV
NPI
1013013697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA1006)
Enumeration Date
2006-09-15
Last Update Date
2009-05-20
Business Address
-- MONTE WILSON
2704 N TENAYA WAY
LAS VEGAS, NV 89128-0424
Phone number: 702-243-8500
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Mailing Address
-- MONTE WILSON
PO BOX 15645
LAS VEGAS, NV 89114-5645
Phone number:
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