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Individual

GENESTER SYLVANNA WILSON-KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD FACOG

Contact information

Practice address
1502 N DONNELLY ST, SUITE 101, MT DORA, FL 32752
(352) 735-7778
(352) 735-4043
Mailing address
1502 N DONNELLY ST, SUITE 101, MT DORA, FL 32752
(352) 735-7778
(352) 735-4043

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49660
FL

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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