JEFFEREY WALLACE

GILROY, CA
NPI1902023070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
-- JEFFEREY WALLACE
6980 CHESTNUT ST
GILROY, CA 95020-6635
Phone number: 408-842-7138
Mailing Address
-- JEFFEREY WALLACE
125 BLAINE ST APT I
SANTA CRUZ, CA 95060-2894
Phone number:
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