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1295728087
MARK MATTHEW WILSON
ALEXANDRIA, LA
NPI
1295728087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: LA 019488)
Enumeration Date
2005-08-26
Last Update Date
2018-08-27
Business Address
MARK MATTHEW WILSON M.D.
1337 CENTRE CT
ALEXANDRIA, LA 71301
Phone number: 318-445-9331
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Mailing Address
MARK MATTHEW WILSON M.D.
1337 CENTRE CT
ALEXANDRIA, LA 71301-3405
Phone number: 318-445-9331
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