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1811741960
SUSAN MARIE WALLIS LA VON
CAMARILLO, CA
NPI
1811741960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
SUSAN MARIE WALLIS LA VON
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
SUSAN MARIE WALLIS LA VON
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
Copy
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