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1811434400
RICHARD WALLACE
COLORADO SPRINGS, CO
NPI
1811434400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 112239)
Enumeration Date
2017-01-20
Last Update Date
2017-01-20
Business Address
-- RICHARD WALLACE RN BSN
4905 HACKAMORE DR N
COLORADO SPRINGS, CO 80918-2632
Phone number: 719-252-6631
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Mailing Address
-- RICHARD WALLACE RN BSN
4905 HACKAMORE DR N
COLORADO SPRINGS, CO 80918-2632
Phone number: 719-252-6631
Copy
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