GREGORY WALLACE

JONESBORO, AR
NPI1992915532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- GREGORY WALLACE
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Mailing Address
-- GREGORY WALLACE
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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