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1891022828
LETICIA KRISTIN WALLACE
WEST LAKE HILLS, TX
NPI
1891022828
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Former Name
LETICIA W MCLEOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT80777)
Enumeration Date
2009-11-12
Last Update Date
2024-06-25
Business Address
LETICIA KRISTIN WALLACE R.D.,L.D.
5656 BEE CAVES RD
WEST LAKE HILLS, TX 78746-5280
Phone number: 512-807-3270
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Mailing Address
LETICIA KRISTIN WALLACE R.D.,L.D.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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