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1093236572
JENNA ROSE WALLACE
WEST FARGO, ND
NPI
1093236572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ND R37792)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
Dr. JENNA ROSE WALLACE DNP, APRN, CNP
1220 SHEYENNE ST
WEST FARGO, ND 58078-2637
Phone number: 701-234-4445
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Mailing Address
Dr. JENNA ROSE WALLACE DNP, APRN, CNP
3122 46TH AVE S
FARGO, ND 58104-6658
Phone number: 701-520-1852
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