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1437449378
DIXIE SHANNON WALL
TUSTIN, CA
NPI
1437449378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: CA 14079)
Enumeration Date
2011-04-12
Last Update Date
2011-04-12
Business Address
-- DIXIE SHANNON WALL
360 E 1ST ST # 187
TUSTIN, CA 92780-3211
Phone number: 949-922-7568
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Mailing Address
-- DIXIE SHANNON WALL
360 E 1ST ST # 187
TUSTIN, CA 92780-3211
Phone number: 949-922-7568
Copy
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