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1053846154
CHRISTINA WALLACE
MEMPHIS, TN
NPI
1053846154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TN 22531)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
-- CHRISTINA WALLACE
262 N DANNY THOMAS BLVD
MEMPHIS, TN 38105-2822
Phone number: 901-595-3300
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Mailing Address
-- CHRISTINA WALLACE
296 EASTLAND DR
MEMPHIS, TN 38111-6933
Phone number: 901-734-9809
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