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1396359022
PAMELA YVONNE WALLACE
SAINT LOUIS, MO
NPI
1396359022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2017028448)
Enumeration Date
2020-09-01
Last Update Date
2020-09-01
Business Address
Ms. PAMELA YVONNE WALLACE Register Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Ms. PAMELA YVONNE WALLACE Register Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
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