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1013699131
NAOMI SUSAN WALLACE
TYLER, TX
NPI
1013699131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1128446)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
NAOMI SUSAN WALLACE NP
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901
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Mailing Address
NAOMI SUSAN WALLACE NP
912 S FLEISHEL AVE
TYLER, TX 75701-2018
Phone number: 903-592-6901
Copy
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