PAUL S WALLACE

BARTLESVILLE, OK
NPI1548444318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  L0050977)
Enumeration Date2007-12-28
Last Update Date2007-12-28
Business Address
-- PAUL S WALLACE
513 SE QUAPAW
BARTLESVILLE, OK 74003
Phone number: 918-337-8080
Mailing Address
-- PAUL S WALLACE
1400 S HIGH STREET
CANEY, KS 67333
Phone number: 918-337-8080
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