MICHELLE WALLACE
Medical Practice at Redwood Ave, Eagle Crest, OR

License number
Florida 38502
Issued Date
Feb 6, 2004
Effective Date
Feb 6, 2004
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
1085 NW Redwood Ave, Eagle Crest, OR 97756
1548 NE Cushing Ave, Bend, OR 97701
Phone
(850) 293-6333
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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