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1891663860
TRACI WALLACE L WALLACE
DAYTON, OH
NPI
1891663860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2025-10-29
Last Update Date
2025-10-29
Business Address
TRACI WALLACE L WALLACE
6612 LOVELL CT
DAYTON, OH 45424-7120
Phone number: 937-361-9726
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Mailing Address
TRACI WALLACE L WALLACE
6612 LOVELL CT
DAYTON, OH 45424-7120
Phone number: 937-361-9726
Copy
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