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1558760132
DEREK JAMES WILSON
GAINESVILLE, FL
NPI
1558760132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
-- DEREK JAMES WILSON
1600 SW ARCHER RD
GAINESVILLE, FL 32610-0371
Phone number: 352-265-0301
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Mailing Address
-- DEREK JAMES WILSON
PO BOX 13833
PHILADELPHIA, PA 19101-3833
Phone number:
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