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1073613089
NANCY V WALLACE
RICHMOND, VA
NPI
1073613089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024164436)
Enumeration Date
2006-09-22
Last Update Date
2007-08-29
Business Address
NANCY V WALLACE NP
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505
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Mailing Address
NANCY V WALLACE NP
517 W GRACE ST
RICHMOND, VA 23220-4911
Phone number: 804-783-2505
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