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1144658055
MICHAEL J WILSON
DALLAS, TX
NPI
1144658055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08779)
Enumeration Date
2013-10-31
Last Update Date
2014-10-07
Business Address
-- MICHAEL J WILSON PAC
39769 LBJ FWY CARE NOW MEDICAL CENTER
DALLAS, TX 75237-3560
Phone number: 972-780-0802
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Mailing Address
-- MICHAEL J WILSON PAC
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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