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1699271080
LAURA L WALLACE
WOOSTER, OH
NPI
1699271080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 148386)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
LAURA L WALLACE LPN
2518 PORTAGE GROVE CT
WOOSTER, OH 44691-1975
Phone number: 330-242-9297
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Mailing Address
LAURA L WALLACE LPN
2518 PORTAGE GROVE CT
WOOSTER, OH 44691-1975
Phone number: 330-242-9297
Copy
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