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1467053371
DAVID LEE WILSON
SACRAMENTO, CA
NPI
1467053371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014950)
Enumeration Date
2020-11-06
Last Update Date
2020-11-07
Business Address
DAVID LEE WILSON
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5590
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Mailing Address
DAVID LEE WILSON
884 SPOTTED PONY CT
ROCKLIN, CA 95765-5468
Phone number: 707-590-6358
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