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1568935930
THOMISHA WALLACE
SACRAMENTO, CA
NPI
1568935930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
THOMISHA WALLACE
8912 VOLUNTEER LN
SACRAMENTO, CA 95826-3221
Phone number: 916-597-5169
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Mailing Address
THOMISHA WALLACE
8912 VOLUNTEER LN
SACRAMENTO, CA 95826-3221
Phone number:
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