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1063685592
TED LEWIS WILSON
BALTIMORE, MD
NPI
1063685592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C00001109)
Enumeration Date
2008-04-04
Last Update Date
2008-04-04
Business Address
Mr. TED LEWIS WILSON Physicians Assistant
7210 WINDSOR BLVD RUTHERFORD BUSINESS CENTER
BALTIMORE, MD 21244-2633
Phone number: 410-597-7438
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Mailing Address
Mr. TED LEWIS WILSON Physicians Assistant
7210 WINDSOR BLVD RUTHERFORD BUSINESS CENTER
BALTIMORE, MD 21244-2633
Phone number: 410-597-7438
Copy
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