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1447975305
KIANA WALLACE
FAIRMONT, WV
NPI
1447975305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-10-04
Last Update Date
2022-11-21
Business Address
KIANA WALLACE MS
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 681-758-1907
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Mailing Address
KIANA WALLACE MS
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 681-758-1907
Copy
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