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1477843662
KORI L WALLACE
LOS ANGELES, CA
NPI
1477843662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-04-09
Last Update Date
2011-04-09
Business Address
Dr. KORI L WALLACE MD, PhD
757 WESTWOOD PLZ B711 RRUMC
LOS ANGELES, CA 90095-9126
Phone number: 310-267-9128
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Mailing Address
Dr. KORI L WALLACE MD, PhD
757 WESTWOOD PLZ B711 RRUMC
LOS ANGELES, CA 90095-9126
Phone number: 310-267-9128
Copy
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