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Individual
MR. GILSON PREGO
Active
Individual
MR. GILSON PREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5141-1
NY
Other
Enumeration date
01/30/2007
Last updated
05/27/2012
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