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1831977610
SHIMARIAN WILSON
FAYETTEVILLE, NC
NPI
1831977610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NC RBT-23-298797)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
SHIMARIAN WILSON
3649 CAPE CENTER DR
FAYETTEVILLE, NC 28304-4457
Phone number: 910-484-1711
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Mailing Address
SHIMARIAN WILSON
2919 BREEZEWOOD AVE STE 101
FAYETTEVILLE, NC 28303-5283
Phone number: 910-484-1711
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