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1225427131
LORIE WALLACE
PACOIMA, CA
NPI
1225427131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-01-15
Last Update Date
2015-01-15
Business Address
-- LORIE WALLACE
11643 GLENOAKS BLVD
PACOIMA, CA 91331-1050
Phone number: 818-897-2609
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Mailing Address
-- LORIE WALLACE
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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