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1811468135
ALEXANDRIA WALLACE
HUNTSVILLE, AL
NPI
1811468135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-143113)
Enumeration Date
2018-12-14
Last Update Date
2021-01-28
Business Address
ALEXANDRIA WALLACE
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-6603
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Mailing Address
ALEXANDRIA WALLACE
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-6603
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