SARAH WALLACE

LEAVENWORTH, KS
NPI1568850006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  76650)
Enumeration Date2015-01-07
Last Update Date2015-01-07
Business Address
Mrs. SARAH WALLACE
390 LIMIT ST
LEAVENWORTH, KS 66048-4525
Phone number: 913-651-2323
Mailing Address
Mrs. SARAH WALLACE
18714 W 163RD TER
OLATHE, KS 66062-2786
Phone number: 785-249-4676
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