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1326686403
PAIGE MARIE WALLACE
FORT WORTH, TX
NPI
1326686403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP143787)
Enumeration Date
2019-12-19
Last Update Date
2019-12-19
Business Address
PAIGE MARIE WALLACE
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-291-4545
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Mailing Address
PAIGE MARIE WALLACE
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number:
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