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Individual
DR. ROSE MARY WILSON
Active
Individual
DR. ROSE MARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
692119
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
692119
TX
Other
Enumeration date
05/14/2021
Last updated
11/24/2024
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