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1760589394
MARISSA I WALLIE
ANNAPOLIS, MD
NPI
1760589394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MD 01998)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
-- MARISSA I WALLIE D.C.
530 COLLEGE PKWY SUITE F
ANNAPOLIS, MD 21409-4614
Phone number: 410-349-2727
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Mailing Address
-- MARISSA I WALLIE D.C.
1407 BRENWOODE RD
ANNAPOLIS, MD 21409-5494
Phone number: 410-757-3413
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