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1144262197
LAURA WALLACE
CLEARWATER, FL
NPI
1144262197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL RN2529872)
Enumeration Date
2006-06-12
Last Update Date
2012-10-26
Business Address
Mrs. LAURA WALLACE ARNP
455 PINELLAS ST SUITE #400
CLEARWATER, FL 33756-3354
Phone number: 727-445-1911
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Mailing Address
Mrs. LAURA WALLACE ARNP
1717 TALL PINE CIR
SAFETY HARBOR, FL 34695-5204
Phone number:
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