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1336972439
ALICIA M WALLACE
DAYTON, OH
NPI
1336972439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
ALICIA M WALLACE
8963 KINGSRIDGE DR
DAYTON, OH 45458-1623
Phone number: 859-699-8316
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Mailing Address
ALICIA M WALLACE
8963 KINGSRIDGE DR
DAYTON, OH 45458-1623
Phone number:
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