MARY CHRISTENA WALLACE

FARMINGTON, UT
NPI1114114832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  206301-3102)
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
-- MARY CHRISTENA WALLACE RN
50 E STATE ST
FARMINGTON, UT 84025-2343
Phone number: 801-451-3315
Mailing Address
-- MARY CHRISTENA WALLACE RN
PO BOX 618
FARMINGTON, UT 84025-0618
Phone number:
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