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1528411287
DEJUANNA WALLACE
LOS ANGELES, CA
NPI
1528411287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-07-18
Last Update Date
2018-05-16
Business Address
DEJUANNA WALLACE
11303 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Phone number: 213-738-3474
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Mailing Address
DEJUANNA WALLACE
11303 W WASHINGTON BLVD
LOS ANGELES, CA 90066-6003
Phone number: 213-738-3474
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