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1821558560
DEON WALLACE
POUGHKEEPSIE, NY
NPI
1821558560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 293671)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
DEON WALLACE
6 WILLIAMS ST APT B
POUGHKEEPSIE, NY 12601-8040
Phone number: 845-705-6935
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Mailing Address
DEON WALLACE
6 WILLIAMS ST APT B
POUGHKEEPSIE, NY 12601-8040
Phone number:
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