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1972915205
ANNETTE WALLACE
COLUMBUS, GA
NPI
1972915205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
-- ANNETTE WALLACE
1230 2ND AVE
COLUMBUS, GA 31901-5241
Phone number: 706-321-9606
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Mailing Address
-- ANNETTE WALLACE
1230 2ND AVE
COLUMBUS, GA 31901-5241
Phone number: 706-321-9606
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