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1902457120
EMILY ANNE WALLACE
ROUND ROCK, TX
NPI
1902457120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143187)
Enumeration Date
2019-09-28
Last Update Date
2019-09-28
Business Address
EMILY ANNE WALLACE
401 OAKWOOD BLVD
ROUND ROCK, TX 78681-4067
Phone number: 512-388-7494
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Mailing Address
EMILY ANNE WALLACE
603 W 13TH ST
AUSTIN, TX 78701-1744
Phone number:
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