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Individual
VIRGINIA F WILSON
Active
Individual
VIRGINIA F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2053
NH
363AM0700X
Medical Physician Assistant
796
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0746PA
—
SC
Enumeration date
12/05/2006
Last updated
02/07/2025
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