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1760039010
CHRISTINE BLAIR-WALLACE
HAMPTON, VA
NPI
1760039010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
CHRISTINE BLAIR-WALLACE
788 BELLWOOD RD
HAMPTON, VA 23666-2806
Phone number: 757-285-8392
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Mailing Address
CHRISTINE BLAIR-WALLACE
788 BELLWOOD RD
HAMPTON, VA 23666-2806
Phone number: 757-285-8392
Copy
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