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1346596947
KATHLEEN WALLACE
LINCOLN, NE
NPI
1346596947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 21705)
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
KATHLEEN WALLACE
600 S 70TH ST
LINCOLN, NE 68510-2451
Phone number: 402-489-3802
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Mailing Address
KATHLEEN WALLACE
8364 ROCKLEDGE RD APT 521
LINCOLN, NE 68506-7361
Phone number:
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