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1578301453
ELLIE KAY WALLACE
RICHFIELD, MN
NPI
1578301453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
ELLIE KAY WALLACE
6320 PENN AVE S
RICHFIELD, MN 55423-1139
Phone number: 612-677-2350
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Mailing Address
ELLIE KAY WALLACE
6320 PENN AVE S
RICHFIELD, MN 55423-1139
Phone number:
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