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1871914739
DALA WALLACE
OMAHA, NE
NPI
1871914739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NE 48189)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
Ms. DALA WALLACE
12565 W CENTER RD SUITE 100
OMAHA, NE 68144-3802
Phone number: 402-342-5566
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Mailing Address
Ms. DALA WALLACE
12565 W CENTER RD SUITE 100
OMAHA, NE 68144-3802
Phone number: 402-342-5566
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