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1093364853
DESIREE M WALLACE
HOULTON, ME
NPI
1093364853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: ME cna67685)
Enumeration Date
2019-09-05
Last Update Date
2020-09-09
Business Address
DESIREE M WALLACE CNA
59 BANGOR ST
HOULTON, ME 04730-1740
Phone number: 207-538-3700
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Mailing Address
DESIREE M WALLACE CNA
529 S PATTEN RD
PATTEN, ME 04765-3007
Phone number: 207-538-3700
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