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1861078859
MICHAELA K WALLACE
GAINESVILLE, FL
NPI
1861078859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 255983-30)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
MICHAELA K WALLACE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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Mailing Address
MICHAELA K WALLACE
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Copy
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