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1285381830
HENRY WALLACE
ST GEORGE, UT
NPI
1285381830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-03
Last Update Date
2023-05-15
Business Address
HENRY WALLACE
1067 E TABERNACLE ST
ST GEORGE, UT 84770-3163
Phone number: 801-255-5131
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Mailing Address
HENRY WALLACE
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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