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1619344074
JEANETTE WALLACE
TACOMA, WA
NPI
1619344074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00015991)
Enumeration Date
2015-09-01
Last Update Date
2019-07-29
Business Address
JEANETTE WALLACE RPh
9040 JACKSON AVE
TACOMA, WA 98431-6456
Phone number: 253-968-2252
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Mailing Address
JEANETTE WALLACE RPh
21508 107TH AVE E
GRAHAM, WA 98338-6456
Phone number: 253-653-8659
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