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1194483792
ANNA WALLACE
NEWARK, DE
NPI
1194483792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: DE LP-0010494)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
Mrs. ANNA WALLACE APRN
4755 OGLETOWN STANTON RD
NEWARK, DE 19718-2200
Phone number: 302-733-1000
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Mailing Address
Mrs. ANNA WALLACE APRN
1303 CLIFFORD RD
WILMINGTON, DE 19805-1313
Phone number: 302-893-0762
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