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1114464310
SARA W WALLACE
CUMMING, GA
NPI
1114464310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN183641)
Enumeration Date
2017-01-25
Last Update Date
2020-10-06
Business Address
Mrs. SARA W WALLACE NP-C
950 SANDERS RD
CUMMING, GA 30041-5960
Phone number: 678-208-2446
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Mailing Address
Mrs. SARA W WALLACE NP-C
1380 UPPER HEMBREE RD
ROSWELL, GA 30076-1146
Phone number: 770-475-2377
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