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1316037039
MARK CLINTON WILSON
FORT PAYNE, AL
NPI
1316037039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3981)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Dr. MARK CLINTON WILSON D.M.D.
110 23RD ST NW
FORT PAYNE, AL 35967-3671
Phone number: 256-845-0765
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Mailing Address
Dr. MARK CLINTON WILSON D.M.D.
110 23RD ST NW
FORT PAYNE, AL 35967-3671
Phone number: 256-845-0765
Copy
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