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1720863913
COLEMAN W WALLACE
WILLINGBORO, NJ
NPI
1720863913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2023-08-28
Last Update Date
2023-08-30
Business Address
Mr. COLEMAN W WALLACE
15 EDGE CT
WILLINGBORO, NJ 08046-2412
Phone number: 609-500-7139
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Mailing Address
Mr. COLEMAN W WALLACE
15 EDGE CT
WILLINGBORO, NJ 08046-2412
Phone number: 609-500-7139
Copy
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