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1881773091
DAVID G WALLACE
SIOUX FALLS, SD
NPI
1881773091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- DAVID G WALLACE
2501 W 22ND ST
SIOUX FALLS, SD 57105-1305
Phone number: 605-336-3230
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Mailing Address
-- DAVID G WALLACE
24223 SD HIGHWAY 19
MADISON, SD 57042-7406
Phone number: 605-489-2568
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