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1104586510
RICARDO T. WALLACE
CLEVELAND, OH
NPI
1104586510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2021-12-27
Last Update Date
2021-12-27
Business Address
RICARDO T. WALLACE
3691 E 110TH ST
CLEVELAND, OH 44105-2426
Phone number: 216-323-4976
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Mailing Address
RICARDO T. WALLACE
3691 E 110TH ST
CLEVELAND, OH 44105-2426
Phone number: 216-323-4976
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