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1548454853
TAJUANA A WALLACE
COVINGTON, TN
NPI
1548454853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
TAJUANA A WALLACE
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
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Mailing Address
TAJUANA A WALLACE
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
Copy
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