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1174011019
MARISHA WALLACE
MEMPHIS, TN
NPI
1174011019
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Former Name
MARISHA DANIELS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
MARISHA WALLACE
2574 FRAYSER BLVD
MEMPHIS, TN 38127-5829
Phone number: 901-302-4361
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Mailing Address
MARISHA WALLACE
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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