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1154168482
JACQUELINE WALLACE
NEW YORK, NY
NPI
1154168482
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Other Name
JACKIE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-12
Last Update Date
2024-07-12
Business Address
JACQUELINE WALLACE
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 212-241-6500
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Mailing Address
JACQUELINE WALLACE
1745 DERRY AVE SW
ATLANTA, GA 30310-1503
Phone number: 978-473-1576
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