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1750944674
SHADONNA JERRIA WILSON
LOS ANGELES, CA
NPI
1750944674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-04-16
Last Update Date
2020-02-10
Business Address
SHADONNA JERRIA WILSON
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
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Mailing Address
SHADONNA JERRIA WILSON
3850 CRENSHAW BLVD
LOS ANGELES, CA 90008-1821
Phone number: 323-751-3026
Copy
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