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1073029864
STEVEN E WALLACE
CLEVELAND, OH
NPI
1073029864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: OH CDCA.162346)
Enumeration Date
2017-12-16
Last Update Date
2017-12-16
Business Address
STEVEN E WALLACE CDCA
30800 CHAGRIN BLVD
CLEVELAND, OH 44124-5925
Phone number: 216-591-0324
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Mailing Address
STEVEN E WALLACE CDCA
30800 CHAGRIN BLVD
CLEVELAND, OH 44124-5925
Phone number: 216-591-0324
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