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1336906536
MARIAH LANAI WALLACE
AUSTIN, TX
NPI
1336906536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 1144023)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
MARIAH LANAI WALLACE RN
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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Mailing Address
MARIAH LANAI WALLACE RN
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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