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1104130426
BRENDA WALLACE
ROCKWALL, TX
NPI
1104130426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06792)
Enumeration Date
2010-07-28
Last Update Date
2019-09-09
Business Address
Mrs. BRENDA WALLACE PA-C
3142 HORIZON RD STE 209
ROCKWALL, TX 75032-7802
Phone number: 972-771-2018
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Mailing Address
Mrs. BRENDA WALLACE PA-C
3142 HORIZON RD STE 209
ROCKWALL, TX 75032-7802
Phone number: 972-771-2018
Copy
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