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1568665727
SHUNTE WALLACE
LOS ANGELES, CA
NPI
1568665727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- SHUNTE WALLACE
5115 W ADAMS BLVD
LOS ANGELES, CA 90016-2727
Phone number: 323-933-4391
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Mailing Address
-- SHUNTE WALLACE
2189 E 103RD ST #635
LOS ANGELES, CA 90002-3129
Phone number: 323-564-6389
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