ELLIE WALLACE

LEBANON, OR
NPI1306559570
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
ELLIE WALLACE
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
Mailing Address
ELLIE WALLACE
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
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