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1497277495
LYSSA WALLACE ODETTE
SAN DIEGO, CA
NPI
1497277495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9207)
Enumeration Date
2017-07-11
Last Update Date
2022-07-21
Business Address
LYSSA WALLACE ODETTE OD
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-7570
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Mailing Address
LYSSA WALLACE ODETTE OD
3350 LA JOLLA VILLAGE DR MAIL CODE 112G
SAN DIEGO, CA 92161-0002
Phone number: 858-552-7570
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