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Individual

MS. SHERRY LEE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
40075 BOB HOPE DR STE A, RANCHO MIRAGE, CA 92270-3945
(760) 341-3688
(760) 341-8992
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50-001339
OH
363AM0700X
Medical Physician Assistant
Primary
PA58178
CA

Other

Enumeration date
08/17/2007
Last updated
07/24/2020
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