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1184187338
ALLISON WALLACE
CORVALLIS, OR
NPI
1184187338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
ALLISON WALLACE
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-575-1852
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Mailing Address
ALLISON WALLACE
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number:
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