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1194336271
BRIANNA WALLACE
PUEBLO, CO
NPI
1194336271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
BRIANNA WALLACE
1 WELLNESS WAY
PUEBLO, CO 81006-2103
Phone number: 719-545-2746
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Mailing Address
BRIANNA WALLACE
41 MONTEBELLO RD STE 204
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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