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1962707182
HOLLY WILSON
COLUMBIA, MO
NPI
1962707182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110002870)
Enumeration Date
2011-01-19
Last Update Date
2011-01-19
Business Address
-- HOLLY WILSON Physician Assistant
800 HOSPITAL DR
COLUMBIA, MO 65201-5275
Phone number: 573-814-6000
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Mailing Address
-- HOLLY WILSON Physician Assistant
919 COUNTRY RIDGE DR
JEFFERSON CITY, MO 65109-5738
Phone number: 573-690-3390
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