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1205544483
STEPHANNI ANN WALLACE
SACRAMENTO, CA
NPI
1205544483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
STEPHANNI ANN WALLACE
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-450-0700
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Mailing Address
STEPHANNI ANN WALLACE
3600 POWER INN RD
SACRAMENTO, CA 95826-3826
Phone number: 916-450-0700
Copy
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