NANCY A WALLACE

TULSA, OK
NPI1194717249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R0031556)
Enumeration Date2005-08-16
Last Update Date2007-07-08
Business Address
Mrs. NANCY A WALLACE CRNA
4800 S 109TH E AVE
TULSA, OK 74146
Phone number: 918-742-2502
Mailing Address
Mrs. NANCY A WALLACE CRNA
PO BOX 470191
TULSA, OK 74147-0191
Phone number: 918-742-2502
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