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1932852423
BRENDAN KIELY WALLACE
BALTIMORE, MD
NPI
1932852423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
BRENDAN KIELY WALLACE
600 N. WOLFE STREET MARBURG 144
BALTIMORE, MD 21287
Phone number: 410-955-2139
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Mailing Address
BRENDAN KIELY WALLACE
13080 MINDANAO WAY APT 91
MARINA DEL REY, CA 90292-8740
Phone number: 585-797-5627
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