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1760440879
BRENT C WILSON
OKLAHOMA CITY, OK
NPI
1760440879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: OK 17280)
Enumeration Date
2006-05-01
Last Update Date
2014-05-21
Business Address
Mr. BRENT C WILSON M.D.
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120-8304
Phone number: 405-752-3715
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Mailing Address
Mr. BRENT C WILSON M.D.
4401 W MEMORIAL RD SUITE 140
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-752-3162
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