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1346207222
MELANIE WALLACE
TUPELO, MS
NPI
1346207222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 11799)
Enumeration Date
2006-04-26
Last Update Date
2010-07-14
Business Address
-- MELANIE WALLACE M.D.
845 S MADISON ST
TUPELO, MS 38801-4905
Phone number: 662-377-5930
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Mailing Address
-- MELANIE WALLACE M.D.
845 S MADISON ST
TUPELO, MS 38801-4905
Phone number: 662-377-5930
Copy
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