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1700618527
ME'LISA WALLACE
LOS ANGELES, CA
NPI
1700618527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 95227389)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
ME'LISA WALLACE
1670 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 424-338-2937
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Mailing Address
ME'LISA WALLACE
1670 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number:
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