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1417609694
KELLY ELIZABETH WALLACE
PETERSBURG, VA
NPI
1417609694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024183547)
Enumeration Date
2022-01-19
Last Update Date
2022-01-27
Business Address
KELLY ELIZABETH WALLACE NP
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805-9274
Phone number: 804-765-5000
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Mailing Address
KELLY ELIZABETH WALLACE NP
2610 SETTING SUN DR
POWHATAN, VA 23139-7552
Phone number: 910-443-1679
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