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1063180792
JACQUELYN C WALLANDER
PRINCE FREDERICK, MD
NPI
1063180792
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Former Name
JACQUELYN COLACICCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R227415)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
JACQUELYN C WALLANDER DNP CRNP
985 PRINCE FREDERICK BLVD SUITE 201
PRINCE FREDERICK, MD 20678-3492
Phone number: 410-414-5329
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Mailing Address
JACQUELYN C WALLANDER DNP CRNP
985 PRINCE FREDERICK BLVD SUITE 201
PRINCE FREDERICK, MD 20678-3492
Phone number: 410-414-5329
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