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1609045566
IDA SUE WALLEN
PINELLAS PARK, FL
NPI
1609045566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: FL CH002614)
Enumeration Date
2008-02-25
Last Update Date
2011-02-03
Business Address
Dr. IDA SUE WALLEN D.C.
9375 US HIGHWAY 19 N STE B
PINELLAS PARK, FL 33782-5420
Phone number: 727-577-7775
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Mailing Address
Dr. IDA SUE WALLEN D.C.
9375 US HIGHWAY 19 N STE B
PINELLAS PARK, FL 33782-5420
Phone number: 727-577-7775
Copy
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