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Individual

MS. MARCELLA CHRISTINE WILSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.O.M., A.P.

Contact information

Practice address
901 NW 8TH AVE, SUITE A-1, GAINESVILLE, FL 32601-5000
(352) 284-5937
Mailing address
3220 NW 14TH ST, GAINESVILLE, FL 32605-2506
(352) 284-5937

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2178
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C002F
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
04/26/2006
Last updated
07/08/2007
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