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1083209209
TYRIANNE WALLACE
GRETNA, LA
NPI
1083209209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
TYRIANNE WALLACE
1202 MONROE ST
GRETNA, LA 70053-2307
Phone number: 504-309-6798
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Mailing Address
TYRIANNE WALLACE
7523 AVON PARK BLVD
NEW ORLEANS, LA 70128-2101
Phone number: 504-320-6978
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