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1316018559
CYNTHIA S. WALLACE
HUNTSVILLE, AL
NPI
1316018559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AL LNO2274)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
-- CYNTHIA S. WALLACE
751 PLEASANT ROW NW
HUNTSVILLE, AL 35816-2537
Phone number: 256-533-6311
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Mailing Address
-- CYNTHIA S. WALLACE
PO BOX 18488
HUNTSVILLE, AL 35804-8488
Phone number: 256-534-8659
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