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Individual
KARI RENEE WILSON
Active
Individual
KARI RENEE 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
PA05973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201593501
—
TX
01
—
P00696384
MEDICARE RAILROAD
TX
Enumeration date
02/03/2009
Last updated
07/15/2009
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