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1538706957
ROBERT LEE WALLACE
LYNN, MA
NPI
1538706957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
ROBERT LEE WALLACE
100 WILLOW ST
LYNN, MA 01901-1139
Phone number: 781-691-7060
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Mailing Address
ROBERT LEE WALLACE
100 WILLOW ST
LYNN, MA 01901-1139
Phone number: 781-691-7060
Copy
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