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1962909564
JASMIKA WALLACE
FLORENCE, SC
NPI
1962909564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: SC 17-38241)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
JASMIKA WALLACE
500 2ND LOOP RD STE 444
FLORENCE, SC 29505-2817
Phone number: 803-905-5107
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Mailing Address
JASMIKA WALLACE
2580 LIN DO CT
SUMTER, SC 29150-1832
Phone number: 803-905-4427
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