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1093199200
BROOKE WALLACE
LAKEWOOD, CO
NPI
1093199200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
BROOKE WALLACE
13015 W 2ND PL APT 212
LAKEWOOD, CO 80228-1317
Phone number: 720-272-1289
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Mailing Address
BROOKE WALLACE
13015 W 2ND PL APT 212
LAKEWOOD, CO 80228-1317
Phone number: 720-272-1289
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