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1548822778
BRENNA WALLACE
CHICAGO, IL
NPI
1548822778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.007764)
Enumeration Date
2019-07-09
Last Update Date
2019-07-09
Business Address
BRENNA WALLACE MS, RDN, LDN
1339 N DEARBORN ST APT 3A
CHICAGO, IL 60610-6014
Phone number: 734-968-6185
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Mailing Address
BRENNA WALLACE MS, RDN, LDN
1339 N DEARBORN ST APT 3A
CHICAGO, IL 60610-6014
Phone number: 734-968-6185
Copy
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