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1285911032
JEANNE M WALLACE
NORTH LOGAN, UT
NPI
1285911032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- JEANNE M WALLACE PhD
1697 E 3450 N
NORTH LOGAN, UT 84341-8310
Phone number: 435-563-0053
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Mailing Address
-- JEANNE M WALLACE PhD
1697 EAST 3450 NORTH
NORTH LOGAN, UT 84341
Phone number: 435-563-0053
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