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1730683301
PATRICIA SUE WALLACE
LEXINGTON, KY
NPI
1730683301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012119)
Enumeration Date
2018-03-20
Last Update Date
2022-11-17
Business Address
PATRICIA SUE WALLACE APRN
496 SOUTHLAND DR
LEXINGTON, KY 40503-1827
Phone number: 859-288-2425
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Mailing Address
PATRICIA SUE WALLACE APRN
496 SOUTHLAND DR
LEXINGTON, KY 40503-1827
Phone number: 859-288-2425
Copy
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