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1760634471
DEIDRE A WILSON
PHOENIX, AZ
NPI
1760634471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: AZ 4042)
Enumeration Date
2008-10-14
Last Update Date
2023-06-08
Business Address
Dr. DEIDRE A WILSON D.O.
8326 N 7TH ST
PHOENIX, AZ 85020-3441
Phone number: 602-305-5100
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Mailing Address
Dr. DEIDRE A WILSON D.O.
1180 NEWFIELD AVE
STAMFORD, CT 06905-1409
Phone number: 314-888-5233
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