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1033619614
KEVIN R WALLACE
CANFIELD, OH
NPI
1033619614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
Mr. KEVIN R WALLACE
3620 STUTZ DR
CANFIELD, OH 44406-9176
Phone number: 330-286-3173
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Mailing Address
Mr. KEVIN R WALLACE
3620 STUTZ DR
CANFIELD, OH 44406-9176
Phone number: 330-286-3173
Copy
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