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1356498547
CHRISTY BANKSTON WALLACE
FLORENCE, SC
NPI
1356498547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1087)
Enumeration Date
2007-01-03
Last Update Date
2024-06-14
Business Address
Dr. CHRISTY BANKSTON WALLACE O.D.
400 N CASHUA DR
FLORENCE, SC 29501-2098
Phone number: 843-664-9393
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Mailing Address
Dr. CHRISTY BANKSTON WALLACE O.D.
PO BOX 896189
CHARLOTTE, NC 28289-6189
Phone number: 843-664-9393
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