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1205422151
TIFFANI WALLACE
SANTA FE, NM
NPI
1205422151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
TIFFANI WALLACE
4001 OFFICE COURT DR STE 706
SANTA FE, NM 87507-4958
Phone number: 505-395-9611
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Mailing Address
TIFFANI WALLACE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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