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1679552871
GAYLE M WALLACE
DAVENPORT, IA
NPI
1679552871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: IA B096425)
Enumeration Date
2006-01-16
Last Update Date
2013-02-13
Business Address
-- GAYLE M WALLACE ARNP
3385 DEXTER CT STE 110
DAVENPORT, IA 52807-3494
Phone number: 563-355-2244
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Mailing Address
-- GAYLE M WALLACE ARNP
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 563-355-2244
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