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1386792349
DONNA M. WALLACE
SAN DIEGO, CA
NPI
1386792349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA G76858)
Enumeration Date
2007-01-08
Last Update Date
2024-12-15
Business Address
DONNA M. WALLACE MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
DONNA M. WALLACE MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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