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1134684681
WALLY KOLI
KING OF PRUSSIA, PA
NPI
1134684681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-18-56098)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
WALLY KOLI
1001 W 9TH AVE STE C
KING OF PRUSSIA, PA 19406-1209
Phone number: 610-831-1865
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Mailing Address
WALLY KOLI
1321 MURFREESBORO PIKE STE 702
NASHVILLE, TN 37217-2679
Phone number: 615-724-4722
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