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1285635946
GARY ALAN WILSON
POLACCA, AZ
NPI
1285635946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 104357)
Enumeration Date
2005-08-03
Last Update Date
2012-08-08
Business Address
Dr. GARY ALAN WILSON DDS
HIGHWAY 264, MILEPOST 388
POLACCA, AZ 86042-6042
Phone number: 928-737-6000
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Mailing Address
Dr. GARY ALAN WILSON DDS
HIGHWAY 264, MP 388
POLACCA, AZ 86042
Phone number: 928-737-6000
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