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1649765561
CARISSA WILSON
HYANNIS, MA
NPI
1649765561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MA 6614)
Enumeration Date
2018-06-22
Last Update Date
2019-04-30
Business Address
CARISSA WILSON PA
27 PARK ST
HYANNIS, MA 02601-5230
Phone number: 508-771-1800
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Mailing Address
CARISSA WILSON PA
25 COMMERCIAL ST APT 507
BRAINTREE, MA 02184-4375
Phone number: 563-370-0578
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