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1851609945
KRISTI WALLACE
EUGENE, OR
NPI
1851609945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201050185NP)
Enumeration Date
2010-09-22
Last Update Date
2016-10-13
Business Address
-- KRISTI WALLACE FNP
74 E 18TH AVE STE 5
EUGENE, OR 97401-4081
Phone number: 541-255-2248
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Mailing Address
-- KRISTI WALLACE FNP
74 E 18TH AVE STE 5
EUGENE, OR 97401-4081
Phone number: 541-343-3455
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