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1013498039
THERESA WALLACE
RIVIERA BEACH, FL
NPI
1013498039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
Ms. THERESA WALLACE Owner
1200 AC EVANS ST APT 2
RIVIERA BEACH, FL 33404-2063
Phone number: 561-634-6091
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Mailing Address
Ms. THERESA WALLACE Owner
1200 AC EVANS ST APT 2
RIVIERA BEACH, FL 33404-2063
Phone number: 561-634-6091
Copy
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