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1770286643
GISELLE FOURIER WALLACE
BROOKLYN, NY
NPI
1770286643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
GISELLE FOURIER WALLACE DDS
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7942
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Mailing Address
GISELLE FOURIER WALLACE DDS
76 OSBORNE ST
GLEN RIDGE, NJ 07028-2418
Phone number: 973-508-4540
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