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1477268662
CHRISTINE TRELLIS WALLACE
COLUMBIA, MO
NPI
1477268662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022043453)
Enumeration Date
2023-01-23
Last Update Date
2023-02-15
Business Address
CHRISTINE TRELLIS WALLACE FNP-BC
ONE HOSPITAL DR
COLUMBIA, MO 65212-0001
Phone number: 573-884-8445
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Mailing Address
CHRISTINE TRELLIS WALLACE FNP-BC
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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