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1689954653
CHRISTINA K WALLACE
GRANTS PASS, OR
NPI
1689954653
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Former Name
CHRISTINA K WELLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-23
Last Update Date
2011-08-23
Business Address
Ms. CHRISTINA K WALLACE
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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Mailing Address
Ms. CHRISTINA K WALLACE
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
Copy
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