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1386336014
MAYA WALLACE
SHAWNEE, KS
NPI
1386336014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
MAYA WALLACE
17210 MIDLAND DR
SHAWNEE, KS 66217-8901
Phone number: 913-777-9718
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Mailing Address
MAYA WALLACE
17210 MIDLAND DR
SHAWNEE, KS 66217-8901
Phone number:
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