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1255523346
JAMIE MARIE WALLACE
ALEXANDRIA, LA
NPI
1255523346
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Former Name
JAMIE MARIE HOLLIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA temp permit)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
Mrs. JAMIE MARIE WALLACE P.A.
3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301-3900
Phone number: 318-442-6767
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Mailing Address
Mrs. JAMIE MARIE WALLACE P.A.
3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301-3900
Phone number: 318-442-6767
Copy
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