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1386916872
PAULINE WALLACE
BROOKLYN, NY
NPI
1386916872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 480454-1)
Enumeration Date
2012-01-31
Last Update Date
2012-01-31
Business Address
-- PAULINE WALLACE
956 E 79TH ST
BROOKLYN, NY 11236-3808
Phone number: 343-243-1336
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Mailing Address
-- PAULINE WALLACE
956 E 79TH ST
BROOKLYN, NY 11236-3808
Phone number: 343-243-1336
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