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1205422177
MICHAEL WILSON
CROWN POINT, IN
NPI
1205422177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
MICHAEL WILSON
5281 FOUNTAIN DR
CROWN POINT, IN 46307-1085
Phone number: 844-263-1613
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Mailing Address
MICHAEL WILSON
2550 N HOLLYWOOD WAY STE 102
BURBANK, CA 91505-5031
Phone number:
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