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1427824119
KWASI MBWANA
MCDONOUGH, GA
NPI
1427824119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
KWASI MBWANA
2251 HIGHWAY 42 N
MCDONOUGH, GA 30253-4735
Phone number: 770-865-7722
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Mailing Address
KWASI MBWANA
3570 BROAD OAK CT
DECATUR, GA 30034-4798
Phone number:
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