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1053008078
KIARA LEARLENE WALLACE
LOUISVILLE, KY
NPI
1053008078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
KIARA LEARLENE WALLACE MD
550 S JACKSON ST FL 2
LOUISVILLE, KY 40202-1622
Phone number: 502-561-7448
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Mailing Address
KIARA LEARLENE WALLACE MD
550 S JACKSON ST FL 2
LOUISVILLE, KY 40202-1622
Phone number: 502-561-7448
Copy
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