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1033393780
PATRICIA BONNER WALLACE
GREENVILLE, NC
NPI
1033393780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 45499)
Enumeration Date
2007-12-18
Last Update Date
2008-04-18
Business Address
Ms. PATRICIA BONNER WALLACE MN, APRN, BC
823 EVANS ST
GREENVILLE, NC 27834-3267
Phone number: 252-758-4400
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Mailing Address
Ms. PATRICIA BONNER WALLACE MN, APRN, BC
PO BOX 8429
GREENVILLE, NC 27835-8429
Phone number: 252-758-4400
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