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1326877622
JENNIFER LYNN WALLACE
LITTLE ROCK, AR
NPI
1326877622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
JENNIFER LYNN WALLACE
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7199
Phone number: 501-628-2600
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Mailing Address
JENNIFER LYNN WALLACE
2115 KAVANAUGH BLVD APT C
LITTLE ROCK, AR 72205-3985
Phone number: 501-628-2600
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