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1194173443
MARY WALLACE
WENATCHEE, WA
NPI
1194173443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60538865)
Enumeration Date
2016-05-27
Last Update Date
2017-12-07
Business Address
MARY WALLACE
627 S ELLIOTT AVE
WENATCHEE, WA 98801-3195
Phone number: 509-888-5646
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Mailing Address
MARY WALLACE
627 S ELLIOTT AVE
WENATCHEE, WA 98801-3195
Phone number: 509-888-5646
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