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1962146696
ALEXA NICOLE WALLACE
TULSA, OK
NPI
1962146696
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Other Name
LEXI WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OK 2528)
Enumeration Date
2022-04-27
Last Update Date
2022-05-10
Business Address
ALEXA NICOLE WALLACE MS, RD, LD
6160 S YALE AVE
TULSA, OK 74136-1900
Phone number: 918-497-3140
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Mailing Address
ALEXA NICOLE WALLACE MS, RD, LD
6600 S YALE AVE STE 1200
TULSA, OK 74136-3333
Phone number: 918-488-6653
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