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1467990572
THERESA MARIE WALLACE
OCEANSIDE, CA
NPI
1467990572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 686554)
Enumeration Date
2017-02-09
Last Update Date
2017-02-09
Business Address
-- THERESA MARIE WALLACE LVN
3230 WARING CT SUITE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
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Mailing Address
-- THERESA MARIE WALLACE LVN
3230 WARING CT SUITE A
OCEANSIDE, CA 92056-4509
Phone number: 760-305-7528
Copy
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