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1982356630
ABIGAIL WALLACE
PLEASANT GROVE, UT
NPI
1982356630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-01-24
Last Update Date
2022-01-24
Business Address
ABIGAIL WALLACE
533 W STATE RD STE 103
PLEASANT GROVE, UT 84062-2114
Phone number: 801-506-6695
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Mailing Address
ABIGAIL WALLACE
533 W STATE RD STE 103
PLEASANT GROVE, UT 84062-2114
Phone number:
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