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Individual
DR. WILSON FULLA BERNALES
Active
Individual
DR. WILSON FULLA BERNALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14208
NV
207Q00000X
Family Medicine Physician
7632A
WY
207QA0505X
Adult Medicine Physician
C1-0007844
DE
Other
Enumeration date
05/02/2006
Last updated
09/29/2026
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