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1396066759
EBONY VACH'E WALLACE
HOUSTON, TX
NPI
1396066759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-18
Last Update Date
2010-06-18
Business Address
Mrs. EBONY VACH'E WALLACE
12123 QUEENS RIVER DR
HOUSTON, TX 77044-5344
Phone number: 832-298-8987
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Mailing Address
Mrs. EBONY VACH'E WALLACE
12123 QUEENS RIVER DR
HOUSTON, TX 77044-5344
Phone number: 832-298-8987
Copy
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