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1689739211
DIANE ELIZABETH WALLACE
SALT LAKE CITY, UT
NPI
1689739211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 1433401701)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
Ms. DIANE ELIZABETH WALLACE R.Ph.
50 N MEDICAL DR ROOM 1400
SALT LAKE CITY, UT 84132
Phone number: 801-581-2276
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Mailing Address
Ms. DIANE ELIZABETH WALLACE R.Ph.
1456 WASATCH DR
SALT LAKE CITY, UT 84108-2472
Phone number: 801-582-8909
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