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1295109049
MOLLY WALLACE
CINCINNATI, OH
NPI
1295109049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OH 7095)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
Mrs. MOLLY WALLACE RD, LD
4777 E GALBRAITH RD
CINCINNATI, OH 45236-2725
Phone number: 513-686-3223
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Mailing Address
Mrs. MOLLY WALLACE RD, LD
149 CIRCLE DR
HARRISON, OH 45030-2803
Phone number: 513-460-8724
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