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1063947018
THERESA WALLACE
BALTIMORE, MD
NPI
1063947018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- THERESA WALLACE
2201 1/2 ROSLYN AVE APT 203
BALTIMORE, MD 21216-2522
Phone number: 443-468-2142
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Mailing Address
-- THERESA WALLACE
2201 1/2 ROSLYN AVE APT 203
BALTIMORE, MD 21216-2522
Phone number: 443-468-2142
Copy
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