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1477320174
MANUEL PARKER WALLACE
OXNARD, CA
NPI
1477320174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-04
Last Update Date
2024-01-04
Business Address
Mr. MANUEL PARKER WALLACE SUD I
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number: 805-382-6296
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Mailing Address
Mr. MANUEL PARKER WALLACE SUD I
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number: 805-382-6296
Copy
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