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1356891188
BRANDI WALLACE
ROCK ISLAND, IL
NPI
1356891188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
BRANDI WALLACE MA
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
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Mailing Address
BRANDI WALLACE MA
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-2031
Copy
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