PAYTON A WALLACE

FAYETTEVILLE, AR
NPI1265115554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-08-11
Last Update Date2023-08-11
Business Address
PAYTON A WALLACE
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
Mailing Address
PAYTON A WALLACE
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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