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1073039897
BETTY RAY WALLACE
VIRGINIA BEACH, VA
NPI
1073039897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
Enumeration Date
2017-08-15
Last Update Date
2022-07-21
Business Address
BETTY RAY WALLACE
401 PUTNAM RD
VIRGINIA BEACH, VA 23462-3146
Phone number: 757-323-9485
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Mailing Address
BETTY RAY WALLACE
401 PUTNAM RD
VIRGINIA BEACH, VA 23462-3146
Phone number: 757-323-9485
Copy
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