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1467815563
WALLACE JONES
WEST PALM BEACH, FL
NPI
1467815563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 120900)
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- WALLACE JONES
2101 VISTA PKWY STE 290
WEST PALM BEACH, FL 33411-2706
Phone number: 561-249-5370
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Mailing Address
-- WALLACE JONES
2101 VISTA PKWY STE 290
WEST PALM BEACH, FL 33411-2706
Phone number: 561-249-5537
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