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1760957427
MYRA LYNETTE WILSON
BIRMINGHAM, AL
NPI
1760957427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
MYRA LYNETTE WILSON ALC
404 15TH ST N
BIRMINGHAM, AL 35203-1845
Phone number: 205-777-4022
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Mailing Address
MYRA LYNETTE WILSON ALC
752 41ST ST
FAIRFIELD, AL 35064-2318
Phone number: 205-213-9554
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