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1881459667
MAURA KATHLEEN WALLACE
WESTERVILLE, OH
NPI
1881459667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OH 50.008630)
Enumeration Date
2024-02-20
Last Update Date
2024-02-22
Business Address
MAURA KATHLEEN WALLACE Physician Assistant
655 AFRICA RD
WESTERVILLE, OH 43082-9808
Phone number: 614-326-2672
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Mailing Address
MAURA KATHLEEN WALLACE Physician Assistant
655 AFRICA RD
WESTERVILLE, OH 43082-9808
Phone number:
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