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1194571083
DANTORIA WALLACE
GREENVILLE, SC
NPI
1194571083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 54228)
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
DANTORIA WALLACE LPN
157 BROZZINI CT
GREENVILLE, SC 29615-5340
Phone number: 800-805-6989
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Mailing Address
DANTORIA WALLACE LPN
157 BROZZINI CT
GREENVILLE, SC 29615-5340
Phone number:
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