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1912273301
SANDRA MARIE WALLACE
BROOKLYN, NY
NPI
1912273301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: NY 441751-1)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
Mrs. SANDRA MARIE WALLACE RN
180 7TH AVE
BROOKLYN, NY 11203
Phone number: 718-499-2412
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Mailing Address
Mrs. SANDRA MARIE WALLACE RN
180 7TH AVE
BROOKLYN, NY 11215-2609
Phone number: 718-499-2412
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