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1316430176
ROBERT E WALLACE
WEIRTON, WV
NPI
1316430176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
ROBERT E WALLACE
283 OLD COLLIERS WAY
WEIRTON, WV 26062-4073
Phone number: 304-780-6210
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Mailing Address
ROBERT E WALLACE
283 OLD COLLIERS WAY
WEIRTON, WV 26062-4073
Phone number: 304-780-6210
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