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1073559399
MAUREEN MARY WALLACE
SHOW LOW, AZ
NPI
1073559399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: AZ 3191)
Enumeration Date
2006-06-22
Last Update Date
2023-06-14
Business Address
MAUREEN MARY WALLACE PA-C
2500 E HUNT DR STE H-J
SHOW LOW, AZ 85901-7954
Phone number: 928-537-6937
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Mailing Address
MAUREEN MARY WALLACE PA-C
2500 E HUNT DR STE H-J
SHOW LOW, AZ 85901-7954
Phone number: 928-537-6937
Copy
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