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1912936436
JAMES E WILSON
PORT ST LUCIE, FL
NPI
1912936436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9102360)
Enumeration Date
2006-06-30
Last Update Date
2024-11-18
Business Address
Mr. JAMES E WILSON PA-C
513 NW LAKE WHITNEY PL STE 101
PORT ST LUCIE, FL 34986-1618
Phone number: 772-344-7228
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Mailing Address
Mr. JAMES E WILSON PA-C
513 NW LAKE WHITNEY PL STE 101
PORT ST LUCIE, FL 34986-1618
Phone number: 772-344-7228
Copy
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