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1467808394
SUZANNE WALLACE
HOPKINSVILLE, KY
NPI
1467808394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- SUZANNE WALLACE
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 42240-4929
Phone number: 270-886-2205
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Mailing Address
-- SUZANNE WALLACE
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: 270-886-2205
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