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1700034055
MIA WALLACH
BERKELEY, CA
NPI
1700034055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
MIA WALLACH
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5280
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Mailing Address
MIA WALLACH
3282 ADELINE ST
BERKELEY, CA 94703-2439
Phone number: 510-981-5280
Copy
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