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1346744877
EBONY WILSON
COLUMBUS, GA
NPI
1346744877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-15-05618)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
EBONY WILSON RBT
1133 13TH ST
COLUMBUS, GA 31901-2248
Phone number: 706-225-0101
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Mailing Address
EBONY WILSON RBT
1133 13TH ST
COLUMBUS, GA 31901-2248
Phone number: 706-225-0101
Copy
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