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1629894787
DAMIEN WALLACE
CAMPBELL, CA
NPI
1629894787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
DAMIEN WALLACE
1500 E HAMILTON AVE STE 105
CAMPBELL, CA 95008-0834
Phone number: 888-891-5555
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Mailing Address
DAMIEN WALLACE
1500 E HAMILTON AVE STE 105
CAMPBELL, CA 95008-0834
Phone number: 888-891-5555
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