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1144606195
JAMI MICHELLE WALLACE
PEKIN, IL
NPI
1144606195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209012991)
Enumeration Date
2015-07-31
Last Update Date
2023-02-15
Business Address
JAMI MICHELLE WALLACE APN
3591 GRIFFIN AVE
PEKIN, IL 61554-6258
Phone number: 309-353-6301
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Mailing Address
JAMI MICHELLE WALLACE APN
3591 GRIFFIN AVE
PEKIN, IL 61554-6258
Phone number: 309-353-6301
Copy
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