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1356373914
LISA G. WALLACE-DAVIS
HAMPTON, VA
NPI
1356373914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618000303)
Enumeration Date
2006-07-06
Last Update Date
2011-12-15
Business Address
Dr. LISA G. WALLACE-DAVIS OD
1134 BIG BETHEL RD
HAMPTON, VA 23666-1906
Phone number: 757-827-6612
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Mailing Address
Dr. LISA G. WALLACE-DAVIS OD
1134 BIG BETHEL RD
HAMPTON, VA 23666-1906
Phone number: 757-827-6612
Copy
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