REBECCA WALLACE

SALT LAKE CITY, UT
NPI1104810134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  216162-4405)
Enumeration Date2005-09-06
Last Update Date2008-11-24
Business Address
-- REBECCA WALLACE APRN
3838 S 700 E SUITE 200
SALT LAKE CITY, UT 84106-1466
Phone number: 801-261-4988
Mailing Address
-- REBECCA WALLACE APRN
1837 HOLLYWOOD AVE
SALT LAKE CITY, UT 84108-3103
Phone number: 801-487-4160
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