LAURA WALLACE

ROGERS, MN
NPI1215702683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  10747)
Enumeration Date2023-11-16
Last Update Date2023-11-16
Business Address
LAURA WALLACE CNP, DNP-FNP
14040 NORTHDALE BLVD
ROGERS, MN 55374-9612
Phone number: 763-488-4100
Mailing Address
LAURA WALLACE CNP, DNP-FNP
13060 42ND AVE SW
PILLAGER, MN 56473-2495
Phone number: 763-291-5193
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