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1164995650
SIMMONE WALLACE
BRONX, NY
NPI
1164995650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
SIMMONE WALLACE
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 917-204-1937
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Mailing Address
SIMMONE WALLACE
668 E 226TH ST APT 4B
BRONX, NY 10466-3968
Phone number:
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