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1891441549
AVA WALLACE
RANCHO CORDOVA, CA
NPI
1891441549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
AVA WALLACE
10670 WHITE ROCK RD
RANCHO CORDOVA, CA 95670-6095
Phone number: 916-620-9495
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Mailing Address
AVA WALLACE
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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