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1568601664
ALICIA WALLACE
TRUMANN, AR
NPI
1568601664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- ALICIA WALLACE
1005 BALCOM LN
TRUMANN, AR 72472-9502
Phone number: 870-483-1461
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Mailing Address
-- ALICIA WALLACE
1005 BALCOM LN
TRUMANN, AR 72472-9502
Phone number: 870-483-1461
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