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1245996628
NANCY WALLACE
NEW HARTFORD, NY
NPI
1245996628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 348816)
Enumeration Date
2021-11-10
Last Update Date
2021-11-10
Business Address
NANCY WALLACE FNP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1597
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Mailing Address
NANCY WALLACE FNP
1729 BURRSTONE RD
NEW HARTFORD, NY 13413-1001
Phone number: 315-798-1597
Copy
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