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1376899351
THERESA LYNN WILSON
LANHAM, MD
NPI
1376899351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MD C0001801)
Enumeration Date
2012-07-27
Last Update Date
2012-09-04
Business Address
THERESA LYNN WILSON PA-C
8118 GOOD LUCK RD
LANHAM, MD 20706-3574
Phone number: 301-552-8118
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Mailing Address
THERESA LYNN WILSON PA-C
122 LAFAYETTE AVE
LAUREL, MD 20707-4512
Phone number: 301-498-5990
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