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1093922056
GINA M WALLACE
SAN DIEGO, CA
NPI
1093922056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
237600000X Audiologist-Hearing Aid Fitter
(Licence: CA 2218)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- GINA M WALLACE AU
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123-2762
Phone number: 858-939-6621
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Mailing Address
-- GINA M WALLACE AU
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123-2762
Phone number: 858-939-6621
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