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1689698490
PAULA M. WALLACE
MONROE, LA
NPI
1689698490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA P.A.A10590.RX)
Enumeration Date
2006-07-26
Last Update Date
2016-11-21
Business Address
Ms. PAULA M. WALLACE P.A.
212 WALNUT ST STE 110
MONROE, LA 71201-6707
Phone number: 318-323-1809
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Mailing Address
Ms. PAULA M. WALLACE P.A.
312 GRAMMONT ST STE 404
MONROE, LA 71201-7403
Phone number: 318-323-1809
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