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1174006035
TARA NICOLE WILSON
WASHINGTON, DC
NPI
1174006035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
Ms. TARA NICOLE WILSON PA-C
110 IRVING SREET NW ROOM 4B-42
WASHINGTON, DC 20010-2975
Phone number: 724-831-6122
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Mailing Address
Ms. TARA NICOLE WILSON PA-C
423 E BEAVER ST
ZELIENOPLE, PA 16063-1201
Phone number: 724-831-6122
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