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1073540175
AMY M WALLACE
WHEAT RIDGE, CO
NPI
1073540175
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Former Name
AMY M SHEARER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CO 101447)
Enumeration Date
2006-06-26
Last Update Date
2015-11-19
Business Address
-- AMY M WALLACE CNM
7777 W 38TH AVE SUITE 130
WHEAT RIDGE, CO 80033-6168
Phone number: 720-418-8182
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Mailing Address
-- AMY M WALLACE CNM
590 NEW WAVERLY PL 210
CARY, NC 27518-7407
Phone number: 720-418-8186
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