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1114336120
SHELBY WILSON
GLENDALE, AZ
NPI
1114336120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 5768)
Enumeration Date
2014-08-05
Last Update Date
2014-08-05
Business Address
-- SHELBY WILSON PA-C
18205 N 51ST AVE SUITE 129
GLENDALE, AZ 85308-1490
Phone number: 623-398-8554
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Mailing Address
-- SHELBY WILSON PA-C
18205 N 51ST AVE SUITE 129
GLENDALE, AZ 85308-1490
Phone number: 623-398-8554
Copy
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