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1760205835
AMANDA WALLACE
FARGO, ND
NPI
1760205835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ND L12882)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
AMANDA WALLACE AAS, LPN
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
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Mailing Address
AMANDA WALLACE AAS, LPN
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
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