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1073529053
MALISSA GAIL WILSON
COLUMBIA, SC
NPI
1073529053
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Former Name
MALISSA GAIL KINARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: SC 14482)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
Dr. MALISSA GAIL WILSON MD
1308 LAUREL STREET PALMETTO SENIOR CARE LAUREL
COLUMBIA, SC 29201
Phone number: 803-931-8166
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Mailing Address
Dr. MALISSA GAIL WILSON MD
15 RICHLAND MEDICAL PARK PALMETTO SENIOR CARE STE 203
COLUMBIA, SC 29203
Phone number: 803-434-3770
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