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1366056996
LAKYN JULIA WALLACE
HUNTINGTON, WV
NPI
1366056996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
LAKYN JULIA WALLACE
1538 CHARLESTON AVE
HUNTINGTON, WV 25701
Phone number: 304-696-7302
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Mailing Address
LAKYN JULIA WALLACE
1538 CHARLESTON AVE
HUNTINGTON, WV 25701
Phone number: 304-696-7302
Copy
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