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1639991763
CARRIE WALLACE
TULSA, OK
NPI
1639991763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
CARRIE WALLACE
4444 E 41ST ST
TULSA, OK 74135-2527
Phone number: 918-619-4400
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Mailing Address
CARRIE WALLACE
8649 GUM RD
CARTHAGE, MO 64836-8509
Phone number:
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