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1043260441
SANDRA D WALLER
MEMPHIS, TN
NPI
1043260441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN0000005098)
Enumeration Date
2006-05-10
Last Update Date
2012-06-06
Business Address
Ms. SANDRA D WALLER FNP, MSN
2861 BROAD AVE
MEMPHIS, TN 38112-2903
Phone number: 901-260-8500
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Mailing Address
Ms. SANDRA D WALLER FNP, MSN
2595 CENTRAL AVE
MEMPHIS, TN 38104-5905
Phone number: 901-260-8551
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