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1851960892
DIAMOND WALLACE
KERNERSVILLE, NC
NPI
1851960892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
DIAMOND WALLACE
418B W MOUNTAIN ST
KERNERSVILLE, NC 27284-2534
Phone number: 704-780-4271
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Mailing Address
DIAMOND WALLACE
PO BOX 8544
PASADENA, CA 91109-8602
Phone number:
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