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1659094746
TABITHA WALLACE
MOUNT VERNON, NY
NPI
1659094746
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Professional Name
TABITHA WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 819637)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
TABITHA WALLACE RN
55D EHRBAR AVE APT GM
MOUNT VERNON, NY 10552-2443
Phone number: 917-501-8884
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Mailing Address
TABITHA WALLACE RN
55D EHRBAR AVE APT GM
MOUNT VERNON, NY 10552-2443
Phone number:
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