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1700346665
TIFFANI ROMAYNE WALLACE
ELIZABETHTOWN, KY
NPI
1700346665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
TIFFANI ROMAYNE WALLACE
1239 WOODLAND DR
ELIZABETHTOWN, KY 42701-2770
Phone number: 501-358-5106
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Mailing Address
TIFFANI ROMAYNE WALLACE
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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