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1699495325
KRYSTLE WALLACE
BOWIE, MD
NPI
1699495325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
KRYSTLE WALLACE IBCLC
16002 PHILMONT LN
BOWIE, MD 20716-1619
Phone number: 203-231-0947
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Mailing Address
KRYSTLE WALLACE IBCLC
16002 PHILMONT LN
BOWIE, MD 20716-1619
Phone number: 203-231-0947
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