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1407504806
KEENAN WILSON
WASHINGTON, DC
NPI
1407504806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
KEENAN WILSON
506 58TH ST NE
WASHINGTON, DC 20019-6911
Phone number: 202-607-1853
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Mailing Address
KEENAN WILSON
1915 COLEBROOKE DR
TEMPLE HILLS, MD 20748-5605
Phone number: 301-532-5784
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