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1093166852
VALERIE WALLACE
BLYTHEWOOD, SC
NPI
1093166852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: SC 007229437)
Enumeration Date
2016-06-23
Last Update Date
2020-01-28
Business Address
VALERIE WALLACE
833 REDDEN ROW
BLYTHEWOOD, SC 29016-7221
Phone number: 910-544-9103
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Mailing Address
VALERIE WALLACE
13401 OLD MCCOLL RD
GIBSON, NC 28343-8541
Phone number: 910-544-9103
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