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1083165443
DENISE WALLACE
FULLERTON, CA
NPI
1083165443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-20
Last Update Date
2017-09-25
Business Address
-- DENISE WALLACE
801 E CHAPMAN AVE SUITE #203
FULLERTON, CA 92831-3839
Phone number: 714-680-9000
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Mailing Address
-- DENISE WALLACE
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-9000
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