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1114501327
MADELINE WALLACE
LA JOLLA, CA
NPI
1114501327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 34226)
Enumeration Date
2021-05-12
Last Update Date
2021-05-12
Business Address
MADELINE WALLACE DC
7734 HERSCHEL AVE STE F
LA JOLLA, CA 92037-4433
Phone number: 619-776-9603
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Mailing Address
MADELINE WALLACE DC
7734 HERSCHEL AVE STE F
LA JOLLA, CA 92037-4433
Phone number: 619-776-9603
Copy
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