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1316688773
MARIA WALLACE
MARLTON, NJ
NPI
1316688773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01232600)
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
MARIA WALLACE APN
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053-2341
Phone number: 856-797-4721
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Mailing Address
MARIA WALLACE APN
765 ROUTE 70 E BLDG A100
MARLTON, NJ 08053-2341
Phone number: 856-797-4721
Copy
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