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1942283551
KELLY W WILSON
SAN ANGELO, TX
NPI
1942283551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX J0368)
Enumeration Date
2005-11-29
Last Update Date
2018-06-11
Business Address
KELLY W WILSON MD
220 EAST HARRIS AVENUE
SAN ANGELO, TX 76903
Phone number: 325-658-1511
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Mailing Address
KELLY W WILSON MD
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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