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1558738963
GRANT WILSON
FORT DODGE, IA
NPI
1558738963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 079688)
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
GRANT WILSON PA-C
802 KENYON RD
FORT DODGE, IA 50501-5740
Phone number: 515-573-3101
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Mailing Address
GRANT WILSON PA-C
802 KENYON RD
FORT DODGE, IA 50501-5740
Phone number: 515-573-3101
Copy
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