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1306256201
MARILYN G WALLACE
GOLDSBORO, NC
NPI
1306256201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: NC 33514)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
Mrs. MARILYN G WALLACE LPN
2707 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9458
Phone number: 919-735-9146
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Mailing Address
Mrs. MARILYN G WALLACE LPN
2707 MEDICAL OFFICE PL
GOLDSBORO, NC 27534-9458
Phone number: 919-735-9146
Copy
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