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1013332915
BRYAN WILSON
TACOMA, WA
NPI
1013332915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101260836)
Enumeration Date
2014-02-28
Last Update Date
2019-06-13
Business Address
BRYAN WILSON MD
9040 JACKSON AVE
TACOMA, WA 98431-2869
Phone number: 612-916-8558
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Mailing Address
BRYAN WILSON MD
4708 BEAR CREEK LN
GIG HARBOR, WA 98335-8348
Phone number:
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