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1386882462
KWAME NIGEL WILSON
LONG BEACH, CA
NPI
1386882462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-01-28
Last Update Date
2009-01-28
Business Address
-- KWAME NIGEL WILSON
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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Mailing Address
-- KWAME NIGEL WILSON
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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