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1841894359
AUDRA WALLACE
CARLSBAD, CA
NPI
1841894359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
AUDRA WALLACE
6183 PASEO DEL NORTE STE 140
CARLSBAD, CA 92011-1151
Phone number: 760-942-8663
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Mailing Address
AUDRA WALLACE
6183 PASEO DEL NORTE STE 140
CARLSBAD, CA 92011-1151
Phone number: 760-942-8663
Copy
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