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1104534395
KIMBERLY WALLACE
HUNTSVILLE, AL
NPI
1104534395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: AL 1-069756)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
Mrs. KIMBERLY WALLACE RN
204 LOWE AVE SE STE 2
HUNTSVILLE, AL 35801-4242
Phone number: 256-534-7235
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Mailing Address
Mrs. KIMBERLY WALLACE RN
3118 MALLARD POINT DR SE
OWENS CROSS ROADS, AL 35763-8497
Phone number: 256-679-3281
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