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1366652364
SYLVIA FAE WALLACE
THE VILLAGES, FL
NPI
1366652364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL APRN1957902)
Enumeration Date
2007-05-22
Last Update Date
2018-12-05
Business Address
Ms. SYLVIA FAE WALLACE APRN, BC
1575 SANTA BARBARA BLVD
THE VILLAGES, FL 32159-6820
Phone number: 352-674-1740
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Mailing Address
Ms. SYLVIA FAE WALLACE APRN, BC
1020 LAKE SUMTER LNDG
THE VILLAGES, FL 32162-2699
Phone number: 352-674-8820
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