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1487158010
EMILY MAYBELLE-WILSON DOUGLAS
JACKSON, MI
NPI
1487158010
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Former Name
EMILY MAYBELLE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101005499)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
EMILY MAYBELLE-WILSON DOUGLAS
1001 LAURENCE AVE STE E
JACKSON, MI 49202-2980
Phone number: 517-750-4777
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Mailing Address
EMILY MAYBELLE-WILSON DOUGLAS
120 N MAPLE ST
FOWLERVILLE, MI 48836-9502
Phone number: 661-808-5083
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