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1841621612
DWAYNE WILSON
FRESNO, CA
NPI
1841621612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-12-04
Last Update Date
2013-12-04
Business Address
-- DWAYNE WILSON
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number: 559-237-3420
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Mailing Address
-- DWAYNE WILSON
611 E BELMONT AVE
FRESNO, CA 93701-1502
Phone number:
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