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1124326343
JOSHUA WALLACE
SOLDOTNA, AK
NPI
1124326343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- JOSHUA WALLACE
43335 KALIFORNSKY BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331
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Mailing Address
-- JOSHUA WALLACE
43335 KALIFORNSKY BEACH RD STE 36
SOLDOTNA, AK 99669-8280
Phone number: 907-262-6331
Copy
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