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1467403956
CLEMENTE WILSON
HIALEAH, FL
NPI
1467403956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9100865)
Enumeration Date
2006-05-12
Last Update Date
2017-11-27
Business Address
Dr. CLEMENTE WILSON P.A.
900 W 49TH ST STE 308
HIALEAH, FL 33012-3435
Phone number: 305-266-2929
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Mailing Address
Dr. CLEMENTE WILSON P.A.
8750 NW 36TH ST STE 300
DORAL, FL 33178-2499
Phone number: 305-262-1610
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