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1871889618
CREIGHTON GERALD WILSON
COLLEGE STATION, TX
NPI
1871889618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 737316)
Enumeration Date
2011-06-21
Last Update Date
2021-04-06
Business Address
Mr. CREIGHTON GERALD WILSON N.P.-C
1721 BIRMINGHAM RD STE 202
COLLEGE STATION, TX 77845-4081
Phone number: 979-446-0373
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Mailing Address
Mr. CREIGHTON GERALD WILSON N.P.-C
1721 BIRMINGHAM RD STE 202
COLLEGE STATION, TX 77845-4081
Phone number: 979-446-0373
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