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1033659784
JAMIE WALLACE
MERCED, CA
NPI
1033659784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 688844)
Enumeration Date
2017-02-28
Last Update Date
2021-03-30
Business Address
JAMIE WALLACE
300 E 15TH ST STE A
MERCED, CA 95341-6217
Phone number: 209-381-6819
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Mailing Address
JAMIE WALLACE
300 E 15TH ST
MERCED, CA 95341-6217
Phone number: 209-381-6819
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