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1750995452
STACIA MARIE WALLACE
SACRAMENTO, CA
NPI
1750995452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
STACIA MARIE WALLACE
3800 WATT AVE STE 110
SACRAMENTO, CA 95821-2622
Phone number: 916-584-7800
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Mailing Address
STACIA MARIE WALLACE
3800 WATT AVE STE 110
SACRAMENTO, CA 95821-2622
Phone number:
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