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1396398921
SHARON LOUISE WALLACE
FORT WORTH, TX
NPI
1396398921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 973075)
Enumeration Date
2019-07-23
Last Update Date
2019-09-19
Business Address
SHARON LOUISE WALLACE
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
SHARON LOUISE WALLACE
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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