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Betty Wallace
NPI 1760868061 · on the registry since 2015
Practice
- Address
- 3688 Wales Dr
Dayton, OH 45405 - Phone
- (502) 912-2674
- Organisation at this address
- Jcorbittllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio