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1306483359
JESSICA WALLACE
LAS VEGAS, NV
NPI
1306483359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
JESSICA WALLACE
3130 S DURANGO DR STE 425
LAS VEGAS, NV 89117-4455
Phone number: 702-672-6823
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Mailing Address
JESSICA WALLACE
3130 S DURANGO DR STE 425
LAS VEGAS, NV 89117-4455
Phone number: 702-672-6823
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