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1740993252
ALEXANDREA IRENE WALLACE
SAN ANTONIO, TX
NPI
1740993252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1104891)
Enumeration Date
2022-12-29
Last Update Date
2024-11-13
Business Address
ALEXANDREA IRENE WALLACE MSN, APRN, PMHNP-BC
4241 E PIEDRAS DR STE 118
SAN ANTONIO, TX 78228-1422
Phone number: 210-301-0031
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Mailing Address
ALEXANDREA IRENE WALLACE MSN, APRN, PMHNP-BC
85 NE LOOP 410 STE 315
SAN ANTONIO, TX 78216-5836
Phone number:
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