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1093767667
BRUCE WILSON
WHITEVILLE, NC
NPI
1093767667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03556)
Enumeration Date
2006-05-16
Last Update Date
2019-02-12
Business Address
BRUCE WILSON
320 JEFFERSON ST
WHITEVILLE, NC 28472-3602
Phone number: 910-641-8600
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Mailing Address
BRUCE WILSON
320 JEFFERSON ST
WHITEVILLE, NC 28472-3602
Phone number:
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