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1528736543
SABRINA WALLACE
KANSAS CITY, MO
NPI
1528736543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1041733)
Enumeration Date
2021-09-03
Last Update Date
2021-09-03
Business Address
SABRINA WALLACE
9257 NE 83RD TERRANCE
KANSAS CITY, MO 64158
Phone number: 816-407-9797
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Mailing Address
SABRINA WALLACE
9257 NE 83RD TER
KANSAS CITY, MO 64158-7155
Phone number:
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