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1841211273
KAY WALLACE
TRENTON, NJ
NPI
1841211273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NJ 26NR03239800)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- KAY WALLACE CRNA
601 HAMILTON AVE
TRENTON, NJ 08629-1915
Phone number: 609-599-5097
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Mailing Address
-- KAY WALLACE CRNA
PO BOX 18736
NEWARK, NJ 07191-8736
Phone number: 800-426-1699
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