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1245611243
AMANDA PATRICIA WALLACE
SACRAMENTO, CA
NPI
1245611243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: CA 2945)
Enumeration Date
2015-06-16
Last Update Date
2023-03-23
Business Address
AMANDA PATRICIA WALLACE
2115 J ST STE 210
SACRAMENTO, CA 95816-4734
Phone number: 916-444-0033
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Mailing Address
AMANDA PATRICIA WALLACE
4850 NATOMAS BLVD APT 127
SACRAMENTO, CA 95835-1266
Phone number: 310-800-7647
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