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1144881640
KIMBERLY VERONICA WALLACE
MASSILLON, OH
NPI
1144881640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: OH APRN.CNM.019392)
Enumeration Date
2019-06-25
Last Update Date
2022-01-12
Business Address
Mrs. KIMBERLY VERONICA WALLACE CNM APRN
100 LILLIAN GISH BLVD SW STE 201
MASSILLON, OH 44647-6500
Phone number: 330-809-0460
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Mailing Address
Mrs. KIMBERLY VERONICA WALLACE CNM APRN
3574 MELROSE DR
WOOSTER, OH 44691-1857
Phone number: 614-370-1035
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