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1184647091
BRENT WILSON
FRESNO, CA
NPI
1184647091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A84254)
Enumeration Date
2006-07-25
Last Update Date
2007-12-05
Business Address
Dr. BRENT WILSON MD
1303 E HERNDON AVE
FRESNO, CA 93720-3309
Phone number: 559-450-3205
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Mailing Address
Dr. BRENT WILSON MD
PO BOX 6089
PORTLAND, OR 97228-6089
Phone number: 888-398-1370
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