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1265969133
KIMBERLY WALLACE
BRONX, NY
NPI
1265969133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 731730-1)
Enumeration Date
2017-05-22
Last Update Date
2017-05-22
Business Address
KIMBERLY WALLACE
3400 BAINBRIDGE AVE
BRONX, NY 10467-2404
Phone number: 917-450-5763
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Mailing Address
KIMBERLY WALLACE
4330 ELY AVE
BRONX, NY 10466-1816
Phone number:
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