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1730723263
DANA WILSON
SOUTHLAKE, TX
NPI
1730723263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-18-68340)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
DANA WILSON
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
DANA WILSON
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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