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1053135939
GLORIA T WALLACE
SAN ANTONIO, TX
NPI
1053135939
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Former Name
GLORIA T PINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 691604)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
GLORIA T WALLACE
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
GLORIA T WALLACE
8655 DATAPOINT DR APT 305
SAN ANTONIO, TX 78229-3262
Phone number: 253-777-7407
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