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1821775974
JEWELY WALLACE
MCMINNVILLE, OR
NPI
1821775974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
JEWELY WALLACE
213 NE 10TH ST
MCMINNVILLE, OR 97128-4825
Phone number: 971-261-2254
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Mailing Address
JEWELY WALLACE
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 971-261-2254
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