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1104875459
NIKKI L WALLACE
NASHVILLE, TN
NPI
1104875459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN 9725)
Enumeration Date
2006-05-06
Last Update Date
2018-03-17
Business Address
NIKKI L WALLACE CRNA
110 29TH AVE N STE 202
NASHVILLE, TN 37203-1448
Phone number: 615-327-4304
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Mailing Address
NIKKI L WALLACE CRNA
110 29TH AVE N STE 202
NASHVILLE, TN 37203-1448
Phone number: 615-327-4304
Copy
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