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1932240090
SAMUEL LAMAR WILSON
SANTA MONICA, CA
NPI
1932240090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A21662)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
Dr. SAMUEL LAMAR WILSON M.D.
1137 2ND ST #111
SANTA MONICA, CA 90403-5011
Phone number: 310-395-9590
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Mailing Address
Dr. SAMUEL LAMAR WILSON M.D.
1137 2ND ST #111
SANTA MONICA, CA 90403-5011
Phone number: 310-395-9590
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