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MIKE WALLACE

Peer Specialist

NPI: 1881413680Individual

Specialties, Licenses & Credentials

Peer Specialist

Code: 175T00000X

2627(OR)

Contact & Hours

Address
945 SE UGLOW AVE
DALLAS, OR 97338

Quick Facts

NPI
1881413680
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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