BRANDY DAWN WALLACE

DENVER, CO
NPI1497390389
Former NameBRANDY DAWN LIVERSAGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-14
Last Update Date2019-11-14
Business Address
Mrs. BRANDY DAWN WALLACE
4455 E 12TH AVE
DENVER, CO 80220-2415
Phone number: 303-504-7700
Mailing Address
Mrs. BRANDY DAWN WALLACE
4455 E 12TH AVE
DENVER, CO 80220-2415
Phone number: 303-504-7700
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