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Individual
MARINA LYNN WILSON
Active
Individual
MARINA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
79264
MT
208M00000X
Hospitalist Physician
Primary
T9871
TX
Other
Enumeration date
04/22/2013
Last updated
12/05/2022
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