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1144735408
DAJUAWN WALLACE
DETROIT, MI
NPI
1144735408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
DAJUAWN WALLACE
1333 BREWERY PARK BLVD STE 300
DETROIT, MI 48207-4544
Phone number: 313-656-0000
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Mailing Address
DAJUAWN WALLACE
1333 BREWERY PARK BLVD STE 300
DETROIT, MI 48207-4544
Phone number:
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