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1285940668
FABIOLA ELIZABETH WALLACE
VISALIA, CA
NPI
1285940668
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Former Name
FABIOLA ELIZABETH RUIZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 90196)
Enumeration Date
2010-08-24
Last Update Date
2018-09-24
Business Address
FABIOLA ELIZABETH WALLACE
520 E TULARE AVE
VISALIA, CA 93292
Phone number: 559-623-0969
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Mailing Address
FABIOLA ELIZABETH WALLACE
520 E TULARE AVE
VISALIA, CA 93292-3629
Phone number: 559-623-0909
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