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1396200101
LAUREL E WALLACE
NORTHAMPTON, MA
NPI
1396200101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MA RN121600)
Enumeration Date
2019-02-06
Last Update Date
2019-11-26
Business Address
LAUREL E WALLACE RN
50 PLEASANT ST
NORTHAMPTON, MA 01060-4127
Phone number: 413-584-6855
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Mailing Address
LAUREL E WALLACE RN
15 LAURA DRIVE
WESTFIELD, MA 01085
Phone number: 413-562-2747
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