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1124318027
KELLY L WILSON
SACRAMENTO, CA
NPI
1124318027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA21542)
Enumeration Date
2011-04-12
Last Update Date
2017-01-18
Business Address
-- KELLY L WILSON PA-C
5030 J ST STE 201
SACRAMENTO, CA 95819-3800
Phone number: 916-455-1155
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Mailing Address
-- KELLY L WILSON PA-C
5030 J ST STE 201
SACRAMENTO, CA 95819-3800
Phone number: 916-455-1155
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