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1356349559
JACK KENNEY WILSON
WILMINGTON, NC
NPI
1356349559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 16755)
Enumeration Date
2005-07-12
Last Update Date
2012-09-20
Business Address
MR. JACK KENNEY WILSON MD
637 S KERR AVE
WILMINGTON, NC 28403-8423
Phone number: 910-799-1810
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Mailing Address
MR. JACK KENNEY WILSON MD
637 S KERR AVE
WILMINGTON, NC 28403-8423
Phone number: 910-799-1810
Copy
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