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1609354786
TONYA MICHELLE WALLACE
CONROE, TX
NPI
1609354786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080T0002X Pediatrics, Medical Toxicology
(Licence: TX 323378)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
TONYA MICHELLE WALLACE LVN
1401 ASHWAY ST
CONROE, TX 77385-9704
Phone number: 713-907-6719
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Mailing Address
TONYA MICHELLE WALLACE LVN
602 W SEMANDS ST
CONROE, TX 77301-1867
Phone number: 936-756-5598
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