CARRIE ESTHER WALLACE

GRAND FORKS, ND
NPI1851614739
Former NameCARRIE ESTHER IVERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  995)
Enumeration Date2010-03-08
Last Update Date2010-03-08
Business Address
-- CARRIE ESTHER WALLACE PA
1000 S COLUMBIA RD
GRAND FORKS, ND 58201-4032
Phone number: 701-780-5000
Mailing Address
-- CARRIE ESTHER WALLACE PA
1000 S COLUMBIA RD PO BOX 6002
GRAND FORKS, ND 58201-4032
Phone number: 701-780-5000
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