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1124579602
JENNIFER MARIE WALLACE
REDONDO BEACH, CA
NPI
1124579602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 17329)
Enumeration Date
2016-10-19
Last Update Date
2016-12-22
Business Address
Miss JENNIFER MARIE WALLACE L.A.c
237 AVENIDA DEL NORTE
REDONDO BEACH, CA 90277-5702
Phone number: 310-483-4957
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Mailing Address
Miss JENNIFER MARIE WALLACE L.A.c
237 AVENIDA DEL NORTE
REDONDO BEACH, CA 90277-5702
Phone number: 310-483-4957
Copy
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