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1366131047
PAIGE WALLACE
SAINT LOUIS, MO
NPI
1366131047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
PAIGE WALLACE
2055 CRAIGSHIRE RD
SAINT LOUIS, MO 63146-4036
Phone number: 314-275-0506
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Mailing Address
PAIGE WALLACE
2626 WHIPPORWILL LN
GRANITE CITY, IL 62040-5251
Phone number: 618-219-0638
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