HOLLY WILSON

COLUMBIA, MO
NPI1962707182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: VA  0110002870)
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
-- HOLLY WILSON Physician Assistant
800 HOSPITAL DR
COLUMBIA, MO 65201-5275
Phone number: 573-814-6000
Mailing Address
-- HOLLY WILSON Physician Assistant
919 COUNTRY RIDGE DR
JEFFERSON CITY, MO 65109-5738
Phone number: 573-690-3390
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