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1518299197
STEPHANIE LOUISE WALLACE
TOWSON, MD
NPI
1518299197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MD R160036)
Enumeration Date
2010-02-05
Last Update Date
2023-02-03
Business Address
STEPHANIE LOUISE WALLACE
6701 N CHARLES ST STE 4226
TOWSON, MD 21204-6808
Phone number: 410-296-4616
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Mailing Address
STEPHANIE LOUISE WALLACE
1122 KENILWORTH DR STE 317
BALTIMORE, MD 21204-2146
Phone number: 410-296-4616
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