MICHAEL JON WALLACE

LAS CRUCES, NM
NPI1659238392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2026-01-06
Last Update Date2026-01-06
Business Address
MICHAEL JON WALLACE CPSW
760 N MOTEL BLVD
LAS CRUCES, NM 88007-4169
Phone number: 575-527-7975
Mailing Address
MICHAEL JON WALLACE CPSW
385 CALLE DE ALEGRA BLDG A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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