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1902545320
WHITNEY MORGAN WALLACE
BOLINGBROOK, IL
NPI
1902545320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046011612)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
Dr. WHITNEY MORGAN WALLACE OD
724 E BOUGHTON RD
BOLINGBROOK, IL 60440-2279
Phone number: 630-633-5631
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Mailing Address
Dr. WHITNEY MORGAN WALLACE OD
21 SPINNING WHEEL RD APT 6B
HINSDALE, IL 60521-7639
Phone number: 207-730-9391
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