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1063617231
BARBARA JEAN WALLACE
ELMIRA, NY
NPI
1063617231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 237963-1)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
Mrs. BARBARA JEAN WALLACE LPN
707 ROE AVE
ELMIRA, NY 14905-1642
Phone number: 607-732-6992
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Mailing Address
Mrs. BARBARA JEAN WALLACE LPN
1008 HALL ST
ELMIRA, NY 14901-1522
Phone number: 607-734-8513
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