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1871089680
JESSICA RENEE WALLACE
SPRINGFIELD, OH
NPI
1871089680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH 021995)
Enumeration Date
2018-07-04
Last Update Date
2019-01-03
Business Address
Mrs. JESSICA RENEE WALLACE APRN-CNP
1821 E. HIGH ST.
SPRINGFIELD, OH 45505
Phone number: 937-323-7340
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Mailing Address
Mrs. JESSICA RENEE WALLACE APRN-CNP
1821 E. HIGH ST.
SPRINGFIELD, OH 45505
Phone number: 937-323-7340
Copy
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