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1114564036
JUSTINE K WILSON
FORT WORTH, TX
NPI
1114564036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-12-10
Last Update Date
2022-03-07
Business Address
JUSTINE K WILSON PA-C
3645 WESTERN CENTER BLVD
FORT WORTH, TX 76137-1944
Phone number: 817-232-9767
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Mailing Address
JUSTINE K WILSON PA-C
217 WILD ONION LN
FORT WORTH, TX 76131-2490
Phone number: 817-229-6663
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