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1275258717
ALYSSA ANN WALLACE
TULSA, OK
NPI
1275258717
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Former Name
ALYSSA ANN WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
ALYSSA ANN WALLACE
4103 S YALE AVE STE B
TULSA, OK 74135-6002
Phone number: 918-382-7300
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Mailing Address
ALYSSA ANN WALLACE
PO BOX 700360
TULSA, OK 74170-0360
Phone number: 918-382-7300
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