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1477244077
CATHERINE WALLACE
JACKSONVILLE BEACH, FL
NPI
1477244077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND4727)
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
Mrs. CATHERINE WALLACE
1320 ROBERTS DR
JACKSONVILLE BEACH, FL 32250-3253
Phone number: 904-477-9882
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Mailing Address
Mrs. CATHERINE WALLACE
709 4TH AVE N
JACKSONVILLE BEACH, FL 32250-4527
Phone number: 904-477-9882
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