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1750398707
LANCE T WILSON
ALBUQUERQUE, NM
NPI
1750398707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM 2001-124)
Enumeration Date
2006-08-02
Last Update Date
2009-04-29
Business Address
LANCE T WILSON MD
3128 DON QUIXOTE DR NW
ALBUQUERQUE, NM 87104-3007
Phone number: 505-243-5008
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Mailing Address
LANCE T WILSON MD
3128 DON QUIXOTE DR NW
ALBUQUERQUE, NM 87104-3007
Phone number: 505-243-5008
Copy
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