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1770594400
LISA CATHERINE SIMS WALLACE
FLORENCE, AL
NPI
1770594400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1756561)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- LISA CATHERINE SIMS WALLACE CRNP
421 WEST COLLEGE ST INFANTS AND CHILDRENS CLINIC PC
FLORENCE, AL 35630
Phone number: 256-764-9522
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Mailing Address
-- LISA CATHERINE SIMS WALLACE CRNP
421 WEST COLLEGE ST
FLORENCE, AL 35630
Phone number: 256-764-9522
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