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1265075865
WALLACE TRANUM
DELTONA, FL
NPI
1265075865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: FL T655898694600)
Enumeration Date
2019-10-26
Last Update Date
2019-10-26
Business Address
Mr. WALLACE TRANUM
415 GOLDEN ARM RD
DELTONA, FL 32738-8653
Phone number: 407-460-7242
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Mailing Address
Mr. WALLACE TRANUM
415 GOLDEN ARM RD
DELTONA, FL 32738-8653
Phone number: 407-460-7242
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