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1932164746
MARK L WILSON
AUSTIN, TX
NPI
1932164746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 249657)
Enumeration Date
2006-04-18
Last Update Date
2015-02-25
Business Address
Mr. MARK L WILSON N.P.
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-7000
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Mailing Address
Mr. MARK L WILSON N.P.
4311 SINCLAIR AVE
AUSTIN, TX 78756-3218
Phone number:
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