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1164468302
STEPHANIE WALLACE
BALTIMORE, MD
NPI
1164468302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MD R039710)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- STEPHANIE WALLACE C.R.N.A.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-6353
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Mailing Address
-- STEPHANIE WALLACE C.R.N.A.
PO BOX 64382
BALTIMORE, MD 21264-4382
Phone number:
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