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1073000212
BERNICE LYNTRICIA WALLACE
COLUMBUS, OH
NPI
1073000212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.097990.MEDS-IV)
Enumeration Date
2018-04-13
Last Update Date
2018-04-13
Business Address
BERNICE LYNTRICIA WALLACE LPN
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-445-8131
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Mailing Address
BERNICE LYNTRICIA WALLACE LPN
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1708
Phone number: 614-445-8131
Copy
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