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1386753945
VIVIAN L WILSON
OKLAHOMA CITY, OK
NPI
1386753945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 11902)
Enumeration Date
2006-08-29
Last Update Date
2023-03-07
Business Address
VIVIAN L WILSON M.D.
12716 N.E. 36TH STREET
OKLAHOMA CITY, OK 73140
Phone number: 405-769-3301
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Mailing Address
VIVIAN L WILSON M.D.
PO BOX 30589 12716 N.E. 36TH STREET
MIDWEST CITY, OK 73140-3589
Phone number: 405-769-3301
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