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1336240779
KENNETH HEATON WILSON
DURHAM, NC
NPI
1336240779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: NC 30874)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
DR. KENNETH HEATON WILSON M.D.
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
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Mailing Address
DR. KENNETH HEATON WILSON M.D.
508 FULTON ST
DURHAM, NC 27705-3875
Phone number: 919-286-0411
Copy
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