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1871516559
STEPHANIE RUTLEDGE WALLACE
HOLLYWOOD, FL
NPI
1871516559
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Former Name
STEPHANIE DENISE RUTLEDGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS21192)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- STEPHANIE RUTLEDGE WALLACE RPh
2216 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020-6702
Phone number: 954-926-2914
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Mailing Address
-- STEPHANIE RUTLEDGE WALLACE RPh
14480 SW 37TH ST
MIRAMAR, FL 33027-3790
Phone number: 954-499-1713
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