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1417185513
JENNIFER L WALLACE
CAMBRIDGE, MA
NPI
1417185513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MA RN233633)
Enumeration Date
2009-06-26
Last Update Date
2009-06-26
Business Address
-- JENNIFER L WALLACE RN
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139-1047
Phone number: 617-665-1560
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Mailing Address
-- JENNIFER L WALLACE RN
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139-1047
Phone number: 617-665-1560
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