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1124604772
JAKE WALLIN
BOYNTON BEACH, FL
NPI
1124604772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
JAKE WALLIN
8198 S JOG RD STE 201
BOYNTON BEACH, FL 33472-6903
Phone number: 561-810-6631
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Mailing Address
JAKE WALLIN
1210 HOLLY SPRINGS CIR
ORLANDO, FL 32825-5487
Phone number:
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