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1700966603
GAIL ANN WALLACE
DULUTH, MN
NPI
1700966603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MN R096951-0)
Enumeration Date
2006-10-16
Last Update Date
2011-04-29
Business Address
-- GAIL ANN WALLACE
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-3925
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Mailing Address
-- GAIL ANN WALLACE
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-3925
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