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1972044519
MICHELLE D WALLACE
LARGO, MD
NPI
1972044519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2017-03-15
Last Update Date
2021-10-21
Business Address
MICHELLE D WALLACE
9701 APOLLO DR STE 105
LARGO, MD 20774-4785
Phone number: 301-985-2985
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Mailing Address
MICHELLE D WALLACE
9701 APOLLO DR STE 105
LARGO, MD 20774-4785
Phone number: 301-985-2985
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