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1922472455
AMY WALLACE
KALAMAZOO, MI
NPI
1922472455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704241734)
Enumeration Date
2015-11-20
Last Update Date
2017-03-22
Business Address
-- AMY WALLACE NP
333 PORTAGE ST
KALAMAZOO, MI 49007-4931
Phone number: 269-359-4407
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Mailing Address
-- AMY WALLACE NP
6678 GUERNSEY LAKE RD
DELTON, MI 49046-9739
Phone number:
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