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1609276344
PEGGY ANN WALLACE
MESA, AZ
NPI
1609276344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ 031264)
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- PEGGY ANN WALLACE LPN
7428 E BASELINE RD
MESA, AZ 85209-4902
Phone number: 480-334-5385
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Mailing Address
-- PEGGY ANN WALLACE LPN
7428 E BASELINE RD
MESA, AZ 85209-4902
Phone number: 480-334-5385
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