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Individual

MR. CARL T. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
343127-1

Contact information

Practice address
89 OLD POST RD, MARLBORO, NY 12542-6544
(845) 546-4245
Mailing address
89 OLD POST RD, MARLBORO, NY 12542-6544
(845) 546-4245

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
343127-1
NY

Other

Enumeration date
10/20/2010
Last updated
10/20/2010
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