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Individual

DR. DEBORAH LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10301 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4511
(480) 661-2662
(480) 661-9716
Mailing address
10301 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4511
(480) 661-2662
(480) 661-9716

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27348
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46782001
AZ
Enumeration date
02/24/2006
Last updated
06/04/2013
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