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1750083408
JOSEFINE WALLACE
SAN DIEGO, CA
NPI
1750083408
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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
2023-03-20
Last Update Date
2023-03-20
Business Address
JOSEFINE WALLACE MD
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103-1911
Phone number: 619-543-6268
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Mailing Address
JOSEFINE WALLACE MD
200 W ARBOR DR # MC8425
SAN DIEGO, CA 92103-1911
Phone number:
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