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1548768781
CRYSTALSHAE LEANN WALLACE
MANSFIELD, OH
NPI
1548768781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
CRYSTALSHAE LEANN WALLACE
1033 LARCHWOOD RD
MANSFIELD, OH 44907-2424
Phone number: 419-747-4122
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Mailing Address
CRYSTALSHAE LEANN WALLACE
39 4TH ST
SHELBY, OH 44875-1303
Phone number: 903-327-2682
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