PHILLIP WALLACE

APPLE VALLEY, CA
NPI1316739923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YS0200X Counselor, School
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
PHILLIP WALLACE PPS
11837 NAVAJO RD
APPLE VALLEY, CA 92308-7653
Phone number: 760-247-7206
Mailing Address
PHILLIP WALLACE PPS
12555 NAVAJO RD
APPLE VALLEY, CA 92308-7256
Phone number:
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