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1770844300
BONNIE WALLACE
NASHVILLE, TN
NPI
1770844300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TN APN0000016620)
Enumeration Date
2012-05-30
Last Update Date
2012-05-30
Business Address
-- BONNIE WALLACE ANP-BC
4230 HARDING PIKE STE 330
NASHVILLE, TN 37205-2013
Phone number: 615-269-4545
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Mailing Address
-- BONNIE WALLACE ANP-BC
4230 HARDING PIKE STE 330
NASHVILLE, TN 37205-2013
Phone number: 615-269-4545
Copy
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