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1275075400
HEATHER MARIE WALLACE
WINCHESTER, VA
NPI
1275075400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024174206)
Enumeration Date
2016-11-04
Last Update Date
2021-06-10
Business Address
HEATHER MARIE WALLACE NP
190 CAMPUS BLVD STE 310
WINCHESTER, VA 22601-2872
Phone number: 540-536-0130
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Mailing Address
HEATHER MARIE WALLACE NP
220 CAMPUS BLVD STE 100
WINCHESTER, VA 22601-2888
Phone number: 540-536-5100
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