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1558363275
LISA A WILSON
FORT STEWART, GA
NPI
1558363275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: GA 003755)
Enumeration Date
2005-08-12
Last Update Date
2023-08-22
Business Address
LISA A WILSON PA-c
1061 HARMON AVE DEPT GENERAL
FORT STEWART, GA 31314-5641
Phone number: 912-435-5595
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Mailing Address
LISA A WILSON PA-c
1061 HARMON AVE. STE 1D03
FT. STEWART, GA 31314-5674
Phone number: 912-435-5595
Copy
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