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1699365486
LORRAINE WALLACE
PARSIPPANY, NJ
NPI
1699365486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01106200)
Enumeration Date
2021-01-25
Last Update Date
2021-12-01
Business Address
LORRAINE WALLACE
259 BALDWIN RD STE 203C
PARSIPPANY, NJ 07054-7505
Phone number: 973-362-2091
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Mailing Address
LORRAINE WALLACE
259 BALDWIN RD STE 203C
PARSIPPANY, NJ 07054-7505
Phone number: 733-622-0919
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