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1952321200
DONNA D WALLACE
MINNEAPOLIS, MN
NPI
1952321200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN R1248670)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
DONNA D WALLACE A.N.P.
920 E 28TH ST SUITE 700
MINNEAPOLIS, MN 55407-1139
Phone number: 612-863-9062
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Mailing Address
DONNA D WALLACE A.N.P.
920 E 28TH ST SUITE 700
MINNEAPOLIS, MN 55407-1139
Phone number: 612-863-9062
Copy
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