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1124850763
ELLIE WALLACE
CADILLAC, MI
NPI
1124850763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MI 2901602301)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
ELLIE WALLACE DDS
7800 US HIGHWAY 131 S
CADILLAC, MI 49601-7080
Phone number: 231-775-9797
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Mailing Address
ELLIE WALLACE DDS
7800 US HIGHWAY 131 S
CADILLAC, MI 49601-7080
Phone number: 231-775-9797
Copy
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