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1336999408
STEPHANIE D WALLACE
CHICO, CA
NPI
1336999408
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Former Name
STEPHANIE D COX
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029492)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
Dr. STEPHANIE D WALLACE DNP/FNP
1531 ESPLANADE
CHICO, CA 95926-3310
Phone number: 530-370-3014
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Mailing Address
Dr. STEPHANIE D WALLACE DNP/FNP
1737 GARDEN RD
DURHAM, CA 95938-9409
Phone number: 530-370-3014
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