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1326803156
ETHYL LAURA WALLACE
GAINESVILLE, FL
NPI
1326803156
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Professional Name
ETHYL LAURA WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
ETHYL LAURA WALLACE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
ETHYL LAURA WALLACE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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