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1669794137
KIMBERLY WALLACE
CHEEKTOWAGA, NY
NPI
1669794137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 00595333)
Enumeration Date
2010-02-24
Last Update Date
2013-09-09
Business Address
-- KIMBERLY WALLACE RN
214 ROSEWOOD TER
CHEEKTOWAGA, NY 14225-3016
Phone number: 716-390-2656
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Mailing Address
-- KIMBERLY WALLACE RN
214 ROSEWOOD TER
CHEEKTOWAGA, NY 14225-3016
Phone number: 716-390-2656
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