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1053144378
ANGEL DIANE WALLACE
KENT, OH
NPI
1053144378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
ANGEL DIANE WALLACE
366 SUZANNE DR
KENT, OH 44240-1932
Phone number: 270-784-0144
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Mailing Address
ANGEL DIANE WALLACE
366 SUZANNE DR
KENT, OH 44240-1932
Phone number: 270-784-0144
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