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1497727218
GWEN WILSON
GALLUP, NM
NPI
1497727218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM 88-PA-01)
Enumeration Date
2006-02-06
Last Update Date
2007-07-09
Business Address
-- GWEN WILSON PA
2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM 87301-5600
Phone number: 505-863-1820
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Mailing Address
-- GWEN WILSON PA
1901 REDROCK DR PFS DEPT
GALLUP, NM 87301-5683
Phone number: 505-863-7000
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