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1043324148
CASEY V WILSON
DELAND, FL
NPI
1043324148
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Former Name
CASEY V PROCTOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9103729)
Enumeration Date
2006-08-18
Last Update Date
2019-04-06
Business Address
CASEY V WILSON PHYSICIAN ASSISTANT
999 W PLYMOUTH AVE
DELAND, FL 32720-3134
Phone number: 386-740-7080
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Mailing Address
CASEY V WILSON PHYSICIAN ASSISTANT
999 W PLYMOUTH AVE
DELAND, FL 32720-3134
Phone number: 386-740-7080
Copy
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