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1902116866
JENNIFER WILSON
NEWPORT BEACH, CA
NPI
1902116866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21150)
Enumeration Date
2010-10-13
Last Update Date
2018-05-10
Business Address
JENNIFER WILSON PA-C
520 SUPERIOR AVE STE 360
NEWPORT BEACH, CA 92663-3668
Phone number: 949-644-1025
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Mailing Address
JENNIFER WILSON PA-C
PO BOX 2493
NEWPORT BEACH, CA 92659-1493
Phone number: 657-241-3600
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