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1811715493
STEPHANIE WALLACE
SLIDELL, LA
NPI
1811715493
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Former Name
STEPHANIE LAMBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN139010)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
Mrs. STEPHANIE WALLACE FNP-C
121 SONIAT ST
SLIDELL, LA 70461
Phone number: 731-535-1546
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Mailing Address
Mrs. STEPHANIE WALLACE FNP-C
121 SONIAT ST
SLIDELL, LA 70461
Phone number: 731-535-1546
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