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1952809303
IVAN DARNELL WILSON
ALEXANDRIA, VA
NPI
1952809303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
IVAN DARNELL WILSON
2847 DUKE ST
ALEXANDRIA, VA 22314-4512
Phone number: 703-870-3880
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Mailing Address
IVAN DARNELL WILSON
2847 DUKE ST
ALEXANDRIA, VA 22314-4512
Phone number: 703-870-3880
Copy
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