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1174950190
ALECIA DAWN WALLACE
TACOMA, WA
NPI
1174950190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00007152)
Enumeration Date
2013-10-04
Last Update Date
2013-10-04
Business Address
-- ALECIA DAWN WALLACE RDH
7221 E F ST
TACOMA, WA 98404-1048
Phone number: 253-475-9549
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Mailing Address
-- ALECIA DAWN WALLACE RDH
7221 E F ST
TACOMA, WA 98404-1048
Phone number: 253-475-9549
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