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1548406572
SABRINA L WALLACE
FORT CAMPBELL, KY
NPI
1548406572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN 66818)
Enumeration Date
2008-12-22
Last Update Date
2008-12-22
Business Address
Mrs. SABRINA L WALLACE LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8227
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Mailing Address
Mrs. SABRINA L WALLACE LPN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 931-627-1732
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