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1295006195
CHARLES ISAIAH WILSON
PHOENIX, AZ
NPI
1295006195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AZ 3664065)
Enumeration Date
2012-01-24
Last Update Date
2012-01-24
Business Address
-- CHARLES ISAIAH WILSON
4449 N 12TH ST SUITE A1
PHOENIX, AZ 85014-4520
Phone number: 602-279-1427
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Mailing Address
-- CHARLES ISAIAH WILSON
PO BOX 16906
PHOENIX, AZ 85011-6906
Phone number: 602-279-1427
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