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1962145276
BRIEANNA WALLACE
PORT ST LUCIE, FL
NPI
1962145276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
BRIEANNA WALLACE
10975 SW PACINI WAY
PORT ST LUCIE, FL 34987-6306
Phone number: 954-319-9976
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Mailing Address
BRIEANNA WALLACE
10975 SW PACINI WAY
PORT ST LUCIE, FL 34987-6306
Phone number:
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