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1700068020
MOLLEE JOHANSEN WALLACE
CYPRESS, TX
NPI
1700068020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02519)
Enumeration Date
2007-11-28
Last Update Date
2020-08-21
Business Address
Ms. MOLLEE JOHANSEN WALLACE PA-C
26265 NORTHWEST FWY
CYPRESS, TX 77429-1760
Phone number: 281-758-0092
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Mailing Address
Ms. MOLLEE JOHANSEN WALLACE PA-C
26265 NORTHWEST FWY
CYPRESS, TX 77429-1760
Phone number: 281-758-0092
Copy
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