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1104657352
ANGELA WALLACE
STAFFORD, TX
NPI
1104657352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
Ms. ANGELA WALLACE
10707 CORPORATE DR STE 250-103
STAFFORD, TX 77477-4095
Phone number: 281-464-6648
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Mailing Address
Ms. ANGELA WALLACE
PO BOX 450170
HOUSTON, TX 77245-0170
Phone number: 281-464-6648
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