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1043536766
ADRIENNE WALLACE
BEDFORD, OH
NPI
1043536766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 124931)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
-- ADRIENNE WALLACE lpn
620 TURNEY RD 326
BEDFORD, OH 44146-3375
Phone number: 216-510-5706
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Mailing Address
-- ADRIENNE WALLACE lpn
620 TURNEY RD 326
BEDFORD, OH 44146-3375
Phone number: 216-510-5706
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