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1770814493
EMILY WALLACE
MADISON, WI
NPI
1770814493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 961957)
Enumeration Date
2010-01-20
Last Update Date
2016-03-29
Business Address
-- EMILY WALLACE MS, RD
600 HIGHLAND AVE COMPLIANCE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- EMILY WALLACE MS, RD
600 HIGHLAND AVE COMPLIANCE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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