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1871551481
ALEX WILSON
ADA, OK
NPI
1871551481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1058)
Enumeration Date
2006-05-03
Last Update Date
2016-09-08
Business Address
-- ALEX WILSON PA-C
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-421-4570
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Mailing Address
-- ALEX WILSON PA-C
1921 STONECIPHER BLVD
ADA, OK 74820
Phone number: 580-421-4570
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