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1609751080
JACKIE WALLACE
ROCHESTER, NY
NPI
1609751080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2025-08-06
Last Update Date
2025-08-06
Business Address
JACKIE WALLACE CRPA
2069 HUDSON AVE. D
ROCHESTER, NY 14617
Phone number: 585-694-1307
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Mailing Address
JACKIE WALLACE CRPA
150 MT.HOPE AVE
ROCHESTER, NY 14620
Phone number: 585-706-7983
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