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1457033995
ELIZABETH WALLACE
CHARLOTTE, NC
NPI
1457033995
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Other Name
ELLIE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-03
Last Update Date
2024-03-25
Business Address
ELIZABETH WALLACE
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
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Mailing Address
ELIZABETH WALLACE
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
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