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1104608595
JAMIE WALLACE
OSWEGO, NY
NPI
1104608595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 353514)
Enumeration Date
2023-10-19
Last Update Date
2024-06-21
Business Address
JAMIE WALLACE NP
110 W UTICA ST
OSWEGO, NY 13126-3047
Phone number: 315-668-1202
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Mailing Address
JAMIE WALLACE NP
110 W UTICA ST
OSWEGO, NY 13126-3047
Phone number: 315-668-1202
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