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Brent Alan Wilson

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NPI Number Detailed Information

Provider Information:

Name: Brent Alan Wilson
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1811307978
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/29/2014

Last Update Date: 8/18/2015

Provider Business Mailing Address:

Address: 720 S B ST
San Mateo, CA 94401
Phone Number: 6505797881
Fax Number: 6505792640

Provider Business Practice Location Address:

Address: 561 S 9TH ST
San Jose, CA 95112
Phone Number: 4088851291
Fax Number: 4088851366

Provider Taxonomy:

Primary: 101YA0400X
Secondary (if any):
State: CA

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About Brent Alan Wilson

Brent Alan Wilson ( BRENT ALAN WILSON ) is Definition Counselor Physician in San Jose, CA. The NPI Number for Brent Alan Wilson is 1811307978.
The current location address for Brent Alan Wilson is 561 S 9TH ST San Jose, CA 95112 and the contact number is 6505797881 and fax number is 6505792640. The mailing address for Brent Alan Wilson is 720 S B ST San Mateo, CA 94401- 4088851291 (mailing address contact number - 6505797881).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Brent Alan Wilson ?


Answer: The NPI Number for Brent Alan Wilson is 1811307978

Where is Brent Alan Wilson located?


Answer: Brent Alan Wilson is located at 561 S 9TH ST San Jose, CA 95112.

What is the specialty for Brent Alan Wilson ?


Answer: The Specialty of Brent Alan Wilson is Definition Counselor Physician.

Are there any online reviews for Brent Alan Wilson ?


Answer: Not yet!

Are there any other health care providers in San Jose, CA?


Answer: Yes, there are given below...

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