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1083963334
CLARK ALEXANDER WILSON
TYLER, TX
NPI
1083963334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: TX Q7812)
Additional Taxonomies
208800000X Urology
(Licence: OH 35.135944)
Enumeration Date
2012-09-02
Last Update Date
2021-08-10
Business Address
DR. CLARK ALEXANDER WILSON MD
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701-1954
Phone number: 032-623-9009
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Mailing Address
DR. CLARK ALEXANDER WILSON MD
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701-1954
Phone number: 032-623-9009
Copy
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