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1750773982
WILLIE WALLACE
MINNEAPOLIS, MN
NPI
1750773982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
WILLIE WALLACE
227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405-1408
Phone number: 612-259-7384
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Mailing Address
WILLIE WALLACE
227 COLFAX AVE N STE 130
MINNEAPOLIS, MN 55405-1408
Phone number: 612-259-7384
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