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1992087613
TRACI WALLS
LOUISVILLE, KY
NPI
1992087613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 011277)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
TRACI WALLS R.PH.
4310 OUTER LOOP
LOUISVILLE, KY 40219-3853
Phone number: 502-962-2876
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Mailing Address
TRACI WALLS R.PH.
4310 OUTER LOOP
LOUISVILLE, KY 40219-3853
Phone number: 502-962-2876
Copy
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