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1255699898
JOSEPH C. WALLACE
YUCCA VALLEY, CA
NPI
1255699898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- JOSEPH C. WALLACE
58923 BUSINESS CENTER DR SUITE C, D, & E
YUCCA VALLEY, CA 92284-7311
Phone number: 760-365-7209
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Mailing Address
-- JOSEPH C. WALLACE
58923 BUSINESS CENTER DR SUITE C, D, & E
YUCCA VALLEY, CA 92284-7311
Phone number:
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