KATHY L WALLACE

CAPE GIRARDEAU, MO
NPI1720294572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: MO  092317)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Mrs. KATHY L WALLACE RNFA
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO 63703-5049
Phone number: 573-331-5150
Mailing Address
Mrs. KATHY L WALLACE RNFA
6610 STATE HIGHWAY H
BENTON, MO 63736-9769
Phone number: 573-545-4165
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