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1467953091
JACLYN ANN WALLACE
DETROIT, MI
NPI
1467953091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
JACLYN ANN WALLACE
7800 W OUTER DR STE 203
DETROIT, MI 48235-3459
Phone number: 313-259-1574
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Mailing Address
JACLYN ANN WALLACE
7800 W OUTER DR STE 203
DETROIT, MI 48235-3459
Phone number: 313-259-1574
Copy
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