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1710682471
JAYNEL LYNN WALLACE
SAN ANTONIO, TX
NPI
1710682471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-23-265270)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JAYNEL LYNN WALLACE
4143 GARDENDALE ST
SAN ANTONIO, TX 78229-3129
Phone number: 210-319-9807
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Mailing Address
JAYNEL LYNN WALLACE
6802 UTSA BLVD
SAN ANTONIO, TX 78249-1543
Phone number: 956-708-7462
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