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1851762553
LEANDRA WALLACE
POINT REYES STATION, CA
NPI
1851762553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95003190)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
Ms. LEANDRA WALLACE NP
11150 HIGHWAY 1
POINT REYES STATION, CA 94956-9756
Phone number: 415-663-1082
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Mailing Address
Ms. LEANDRA WALLACE NP
20 FLEETWOOD CT
NOVATO, CA 94947-3751
Phone number: 415-663-1082
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