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1598141525
SHAWN WILSON
FAYETTEVILLE, AR
NPI
1598141525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AR 208211783)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
Ms. SHAWN WILSON
880 W EDEN CIR
FAYETTEVILLE, AR 72701-6931
Phone number: 479-445-2781
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Mailing Address
Ms. SHAWN WILSON
880 W EDEN CIR
FAYETTEVILLE, AR 72701-6931
Phone number: 479-445-2781
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