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Individual

MRS. DANICA LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
102 SOUTH ST, NEW BETHLEHEM, PA 16242-1238
(814) 275-2264
Mailing address
2730 NINEVAH RD, KNOX, PA 16232-6542

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065834
PA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/20/2024
Last updated
02/19/2026
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