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1871061978
LANIQUA WALLACE
YOUNGSTOWN, OH
NPI
1871061978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
LANIQUA WALLACE
249 LOWELL AVE
YOUNGSTOWN, OH 44512-1230
Phone number: 614-531-9819
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Mailing Address
LANIQUA WALLACE
249 LOWELL AVE
YOUNGSTOWN, OH 44512-1230
Phone number: 614-531-9819
Copy
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