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1487739017
KIA SYTANMIA WALLACE
SAN FRANCISCO, CA
NPI
1487739017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-10-25
Last Update Date
2015-11-06
Business Address
Ms. KIA SYTANMIA WALLACE
1140 OAK ST
SAN FRANCISCO, CA 94117-2217
Phone number: 415-431-8252
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Mailing Address
Ms. KIA SYTANMIA WALLACE
1140 OAK ST
SAN FRANCISCO, CA 94117-2217
Phone number: 415-431-8252
Copy
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