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1457697435
KIMBERLY ANN WALLACE
MORGANTOWN, WV
NPI
1457697435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 74136)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
-- KIMBERLY ANN WALLACE NP-C
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4000
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Mailing Address
-- KIMBERLY ANN WALLACE NP-C
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4000
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