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1871849968
MELISSA WALLACE
SAN DIEGO, CA
NPI
1871849968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 66906)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
Dr. MELISSA WALLACE PharmD
4029 43RD ST STE 700
SAN DIEGO, CA 92105-8538
Phone number: 619-521-9753
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Mailing Address
Dr. MELISSA WALLACE PharmD
3054 NILE ST
SAN DIEGO, CA 92104-4810
Phone number:
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