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1174133052
TAYLOR K WALLACE
JACKSONVILLE, FL
NPI
1174133052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL 386143)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
TAYLOR K WALLACE Cna
13525 BARTRAM PARK BLVD UNIT 1538
JACKSONVILLE, FL 32258-5271
Phone number: 816-832-6319
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Mailing Address
TAYLOR K WALLACE Cna
13525 BARTRAM PARK BLVD UNIT 1538
JACKSONVILLE, FL 32258-5271
Phone number: 816-832-6319
Copy
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