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1144777483
DE VORIA WALLACE
LOS ANGELES, CA
NPI
1144777483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-02
Last Update Date
2016-09-02
Business Address
-- DE VORIA WALLACE
425 S BROADWAY
LOS ANGELES, CA 90013-1102
Phone number: 213-213-0100
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Mailing Address
-- DE VORIA WALLACE
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878
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