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1538810734
JORDYN WALLACE
KING OF PRUSSIA, PA
NPI
1538810734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA sp024856)
Enumeration Date
2022-01-10
Last Update Date
2022-01-10
Business Address
JORDYN WALLACE CRNP
700 S HENDERSON RD STE 198
KING OF PRUSSIA, PA 19406-3530
Phone number: 267-699-3900
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Mailing Address
JORDYN WALLACE CRNP
700 S HENDERSON RD STE 108
KING OF PRUSSIA, PA 19406-3530
Phone number:
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