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1972602969
EDITH DIANE WILSON
OLYMPIA, WA
NPI
1972602969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WY 5500A)
Additional Taxonomies
208800000X Urology
(Licence: CO 36402)
Enumeration Date
2006-09-22
Last Update Date
2011-08-29
Business Address
Dr. EDITH DIANE WILSON MD
615 LILLY RD NE STE 175
OLYMPIA, WA 98506-5179
Phone number: 360-486-6772
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Mailing Address
Dr. EDITH DIANE WILSON MD
615 LILLY RD NE STE 175
OLYMPIA, WA 98506-5179
Phone number: 360-486-6772
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