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1073240180
CLARA WALLACE
ELLENSBURG, WA
NPI
1073240180
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Other Name
WILLIAM WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
CLARA WALLACE
220 W 4TH AVE
ELLENSBURG, WA 98926-3060
Phone number: 509-575-4084
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Mailing Address
CLARA WALLACE
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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