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1942873344
TRINA DENISE WALLACE
VICTORVILLE, CA
NPI
1942873344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
Mrs. TRINA DENISE WALLACE
13733 ARTHUR DR
VICTORVILLE, CA 92392-0205
Phone number: 760-912-0467
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Mailing Address
Mrs. TRINA DENISE WALLACE
PO BOX 1477
VICTORVILLE, CA 92393-1477
Phone number:
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