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1649441866
WALLACE'S PLACE
PEORIA, AZ
NPI
1649441866
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Entity Type
Organization
Authorized Contact
CYNTHIA LYNN CLARK
Executive Director
623-203-1148
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2008-03-15
Last Update Date
2008-03-15
Business Address
WALLACE'S PLACE
9636 W OBERLIN WAY
PEORIA, AZ 85383-8750
Phone number: 623-203-1148
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Mailing Address
WALLACE'S PLACE
9636 W OBERLIN WAY
PEORIA, AZ 85383-8750
Phone number: 623-203-1148
Copy
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