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1114604592
SHAWNETTE WALLACE
SACRAMENTO, CA
NPI
1114604592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
SHAWNETTE WALLACE
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
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Mailing Address
SHAWNETTE WALLACE
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
Copy
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