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1285638999
GLEN P WILSON
ALBUQUERQUE, NM
NPI
1285638999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NM 2000-314)
Enumeration Date
2005-06-09
Last Update Date
2024-10-30
Business Address
GLEN P WILSON M.D.
4901 LANG AVE NE
ALBUQUERQUE, NM 87109-4495
Phone number: 505-842-8171
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Mailing Address
GLEN P WILSON M.D.
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: 505-272-1476
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