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1134467897
DEVYN WALLACE
DAYTON, OH
NPI
1134467897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OH C.1200675-TRNE)
Enumeration Date
2013-01-30
Last Update Date
2013-02-04
Business Address
Mrs. DEVYN WALLACE
2745 S SMITHVILLE RD
DAYTON, OH 45420-2668
Phone number: 937-258-4245
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Mailing Address
Mrs. DEVYN WALLACE
2745 S SMITHVILLE RD
DAYTON, OH 45420-2668
Phone number: 937-258-4245
Copy
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