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1790130615
TONYATTA WALLACE
DENHAM SPRINGS, LA
NPI
1790130615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
-- TONYATTA WALLACE
30826 LINDER RD
DENHAM SPRINGS, LA 70726-8507
Phone number: 225-665-7878
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Mailing Address
-- TONYATTA WALLACE
30826 LINDER RD
DENHAM SPRINGS, LA 70726-8507
Phone number: 225-665-7878
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