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1083463947
ANGEL SHA'MIAH WALLACE
BIRMINGHAM, AL
NPI
1083463947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: AL PF4Q3Z3H9)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
ANGEL SHA'MIAH WALLACE CPCT-A
2609 AVENUE K
BIRMINGHAM, AL 35218-2159
Phone number: 659-910-1100
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Mailing Address
ANGEL SHA'MIAH WALLACE CPCT-A
2609 AVENUE K
BIRMINGHAM, AL 35218-2159
Phone number: 659-910-1100
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