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1083111728
CAROL WALLACE
BALDWIN, NY
NPI
1083111728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 282552-1)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
CAROL WALLACE
1052 ARCHER PL
BALDWIN, NY 11510-3604
Phone number: 516-209-6062
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Mailing Address
CAROL WALLACE
1052 ARCHER PL
BALDWIN, NY 11510-3604
Phone number:
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