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1235115650
PAUL PENCE WISMAN
CHARLOTTESVILLE, VA
NPI
1235115650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101049022)
Enumeration Date
2005-12-17
Last Update Date
2012-09-29
Business Address
Mr. PAUL PENCE WISMAN M.D.
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902-5354
Phone number: 434-296-9161
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Mailing Address
Mr. PAUL PENCE WISMAN M.D.
104 KERRY LN
CHARLOTTESVILLE, VA 22901-2925
Phone number: 434-973-3806
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