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1912005422
TIMOTHY WILSON
SANTA MONICA, CA
NPI
1912005422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CA G57490)
Enumeration Date
2006-09-20
Last Update Date
2021-09-14
Business Address
Mr. TIMOTHY WILSON MD
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2303
Phone number: 310-582-7137
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Mailing Address
Mr. TIMOTHY WILSON MD
1333 S MAYFLOWER AVE 2ND FLOOR
MONROVIA, CA 91016-4066
Phone number: 626-775-3514
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