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1427460518
ROBERT EARL WALLACE
YREKA, CA
NPI
1427460518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-05-23
Last Update Date
2014-05-23
Business Address
-- ROBERT EARL WALLACE
2060 CAMPUS DR
YREKA, CA 96097-9538
Phone number: 530-841-4824
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Mailing Address
-- ROBERT EARL WALLACE
2060 CAMPUS DR
YREKA, CA 96097-9538
Phone number: 530-841-4824
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