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1548980154
MYLES WALLACE
MONROVIA, CA
NPI
1548980154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
MYLES WALLACE
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 818-241-6780
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Mailing Address
MYLES WALLACE
1333 S MAYFLOWER AVE STE 220
MONROVIA, CA 91016-5239
Phone number: 323-407-5991
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