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1104305432
HAILEY D WALLACE
COLUMBUS, OH
NPI
1104305432
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Former Name
HAILEY D JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OH CRNA.019718)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
HAILEY D WALLACE CRNA
930 BETHEL RD
COLUMBUS, OH 43214-1906
Phone number: 614-451-0500
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Mailing Address
HAILEY D WALLACE CRNA
750 CROSS POINTE RD STE C
GAHANNA, OH 43230-6692
Phone number: 614-761-1255
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