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1578270955
TIERNEY WALLACE
BATON ROUGE, LA
NPI
1578270955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
Miss TIERNEY WALLACE
5455 SATINWOOD DR
BATON ROUGE, LA 70812-3055
Phone number: 225-907-8603
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Mailing Address
Miss TIERNEY WALLACE
5455 SATINWOOD DR
BATON ROUGE, LA 70812-3055
Phone number: 225-907-8603
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