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Individual

WILTON L WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4134 E JOPPA RD, SUITE 202, BALTIMORE, MD 21236-2284
(410) 248-9800
Mailing address
1900 WALTMAN RD, EDGEWOOD, MD 21040-2338

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156587
MD

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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