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1861631004
DEANNA ELENA WALLACE
SUGAR LAND, TX
NPI
1861631004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2009-02-11
Last Update Date
2021-07-28
Business Address
Mrs. DEANNA ELENA WALLACE PA-C
7616 BRANFORD PL STE 320
SUGAR LAND, TX 77479-3794
Phone number: 819-801-7422
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Mailing Address
Mrs. DEANNA ELENA WALLACE PA-C
12553 GULF FWY
HOUSTON, TX 77034-4509
Phone number: 281-481-8557
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