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1417386350
TREVOR WALLACE
RENO, NV
NPI
1417386350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-11-01
Last Update Date
2020-04-16
Business Address
TREVOR WALLACE
315 RECORD ST STE 103
RENO, NV 89512-3327
Phone number: 775-405-4111
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Mailing Address
TREVOR WALLACE
1733 N DOLLNER CT
VISALIA, CA 93291-1932
Phone number: 559-731-2833
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