VICKI R WALLACE

FAIRMONT, WV
NPI1447420484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy231H00000X Audiologist
(Licence: WV  A-0039)
Enumeration Date2008-03-05
Last Update Date2008-03-05
Business Address
-- VICKI R WALLACE MS, CCC-A
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 304-624-6554
Mailing Address
-- VICKI R WALLACE MS, CCC-A
200 GASTON AVE
FAIRMONT, WV 26554-2739
Phone number: 304-624-6554
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