DIANE ELIZABETH WALLACE

SALT LAKE CITY, UT
NPI1689739211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: UT  1433401701)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
Ms. DIANE ELIZABETH WALLACE R.Ph.
50 N MEDICAL DR ROOM 1400
SALT LAKE CITY, UT 84132
Phone number: 801-581-2276
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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