CASEY V WILSON

DELAND, FL
NPI1043324148
Former NameCASEY V PROCTOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103729)
Enumeration Date2006-08-18
Last Update Date2019-04-06
Business Address
CASEY V WILSON Physician Assistant
999 W PLYMOUTH AVE
DELAND, FL 32720-3134
Phone number: 386-740-7080
Mailing Address
CASEY V WILSON Physician Assistant
999 W PLYMOUTH AVE
DELAND, FL 32720-3134
Phone number: 386-740-7080
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