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1497709703
TERESA WALLACE
LEBANON, PA
NPI
1497709703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: PA AT005862)
Enumeration Date
2006-05-20
Last Update Date
2007-07-08
Business Address
Mrs. TERESA WALLACE MS, F-AAA
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
Mrs. TERESA WALLACE MS, F-AAA
306 RAMBLEWOOD LN
LEBANON, PA 17042-9407
Phone number: 717-272-6621
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