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1235600081
TERESA WALLACE
SPRING VALLEY, NY
NPI
1235600081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 333234)
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
TERESA WALLACE
2 RIFKIN CT
SPRING VALLEY, NY 10977-2236
Phone number: 718-828-2666
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Mailing Address
TERESA WALLACE
2 RIFKIN CT
SPRING VALLEY, NY 10977-2236
Phone number:
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