MARY P WALLACE

WAUKEGAN, IL
NPI1083759955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  41204986)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- MARY P WALLACE RN
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8122
Mailing Address
-- MARY P WALLACE RN
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8122
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