ELLEN EASLEY WALLACE

STARKVILLE, MS
NPI1700178779
Former NameELLEN JANE EASLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MS  D1317)
Enumeration Date2011-05-10
Last Update Date2011-05-10
Business Address
Mrs. ELLEN EASLEY WALLACE CDE, RD, LD
103 STARR AVE APT 66
STARKVILLE, MS 39759-4058
Phone number: 662-418-1184
Mailing Address
Mrs. ELLEN EASLEY WALLACE CDE, RD, LD
PO BOX 5333
MISSISSIPPI STATE, MS 39762-5333
Phone number: 662-418-1184
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