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1003899535
CINDA LOU WALLACE
SAINT JAMES, MN
NPI
1003899535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R0804730)
Enumeration Date
2005-11-29
Last Update Date
2021-01-10
Business Address
CINDA LOU WALLACE NP
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN 56081-5550
Phone number: 507-375-3261
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Mailing Address
CINDA LOU WALLACE NP
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031
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