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1699167973
MARINA WALLIS
SAN DIEGO, CA
NPI
1699167973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95046963)
Enumeration Date
2015-02-24
Last Update Date
2021-03-25
Business Address
MARINA WALLIS
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8200
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Mailing Address
MARINA WALLIS
13355 N HWY 183 APT 1430
AUSTIN, TX 78750-7141
Phone number: 281-777-2462
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