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Individual

DR. RALPH CHARLES WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
891 ROUTE 9, QUEENSBURY, NY 12804
(518) 761-4689
(518) 761-0488
Mailing address
891 ROUTE 9, QUEENSBURY, NY 12804
(518) 761-4689
(518) 761-0488

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T003830-1
NY

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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