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1790425809
DE'JA WALLACE
MIAMI, FL
NPI
1790425809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-29
Last Update Date
2023-04-10
Business Address
DE'JA WALLACE
13195 SW 134TH ST STE 201
MIAMI, FL 33186-4585
Phone number: 786-206-6500
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Mailing Address
DE'JA WALLACE
1314 PIAZZA DELLE PALLOTTOLE
BOYNTON BEACH, FL 33426-8274
Phone number: 863-709-2192
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