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1649272378
ERIN MARIE WALLACE
WEIRTON, WV
NPI
1649272378
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Former Name
ERIN MARIE RUTKOSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: PA MA003119L)
Enumeration Date
2005-08-12
Last Update Date
2020-07-13
Business Address
MS. ERIN MARIE WALLACE PA-C
651 COLLIERS WAY STE 201
WEIRTON, WV 26062-5055
Phone number: 043-723-4700
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Mailing Address
MS. ERIN MARIE WALLACE PA-C
651 COLLIERS WAY STE 201
WEIRTON, WV 26062-5055
Phone number: 304-723-4700
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