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1740047232
DEREK WALLIS
SAGINAW, MI
NPI
1740047232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
DEREK WALLIS
203 S WASHINGTON AVE STE 30
SAGINAW, MI 48607-1217
Phone number: 989-225-7101
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Mailing Address
DEREK WALLIS
3599 E SOUTHGATE DR STE 30
MIDLAND, MI 48640-8507
Phone number: 989-209-3247
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