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1093451122
CATHERINE D WALLACE
WHITE CITY, OR
NPI
1093451122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 202005542RN)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
CATHERINE D WALLACE RN
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
CATHERINE D WALLACE RN
403 MACE RD
MEDFORD, OR 97501-1233
Phone number: 541-292-4552
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