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1740668995
EDWARD WILSON
LONG BEACH, CA
NPI
1740668995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251V00000X Voluntary or Charitable
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
-- EDWARD WILSON
1955 LONG BEACH BLVD
LONG BEACH, CA 90806-5501
Phone number: 562-320-2426
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Mailing Address
-- EDWARD WILSON
100 W BROADWAY SUITE 5010
LONG BEACH, CA 90802-4431
Phone number: 562-285-1330
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