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1689452443
DONNA WALLACE
DEARBORN, MI
NPI
1689452443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
DONNA WALLACE
1 PARKLANE BLVD STE E200
DEARBORN, MI 48126-2400
Phone number: 586-204-5560
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Mailing Address
DONNA WALLACE
27085 GRATIOT AVE STE 101
ROSEVILLE, MI 48066-2984
Phone number: 586-204-5560
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