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1992567374
GEORGE WAYNE DAVISON
JACKSON, MI
NPI
1992567374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MI 106S00000X)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
GEORGE WAYNE DAVISON
1001 LAURENCE AVE
JACKSON, MI 49202-2979
Phone number: 517-750-4777
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Mailing Address
GEORGE WAYNE DAVISON
1001 LAURENCE AVE
JACKSON, MI 49202-2979
Phone number: 517-750-4777
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