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1790493716
CHRISOPHER WALLACE
LITTLE ROCK, AR
NPI
1790493716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
CHRISOPHER WALLACE
1509 N PIERCE ST
LITTLE ROCK, AR 72207-5203
Phone number: 866-727-8274
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Mailing Address
CHRISOPHER WALLACE
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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