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1841353216
PATRICIA J WALLACE
JACKSONVILLE, FL
NPI
1841353216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 637272)
Enumeration Date
2006-12-18
Last Update Date
2017-10-25
Business Address
Ms. PATRICIA J WALLACE ARNP-BC
9471 BAYMEADOWS RD STE 303
JACKSONVILLE, FL 32256-7936
Phone number: 904-332-7431
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Mailing Address
Ms. PATRICIA J WALLACE ARNP-BC
4217 BAYMEADOWS RD SUITE 3
JACKSONVILLE, FL 32217-4676
Phone number: 904-332-7431
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