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1124799051
WENDY JO WALLACE
LONGVIEW, TX
NPI
1124799051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 831664)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
WENDY JO WALLACE RDN
1007 LOVERS LN
LONGVIEW, TX 75604-2855
Phone number: 903-261-2269
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Mailing Address
WENDY JO WALLACE RDN
1007 LOVERS LN
LONGVIEW, TX 75604-2855
Phone number: 903-261-2269
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