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1386202125
SASHA LEE B WALLACE
TAMARAC, FL
NPI
1386202125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
SASHA LEE B WALLACE
6412 N UNIVERSITY DR STE 114
TAMARAC, FL 33321-4002
Phone number: 954-726-6722
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Mailing Address
SASHA LEE B WALLACE
6412 N UNIVERSITY DR STE 114
TAMARAC, FL 33321-4002
Phone number:
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