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1952424525
MAUREEN KAY WALLACE
HOUSTON, TX
NPI
1952424525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX 579570)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mrs. MAUREEN KAY WALLACE RNFA
6624 FANNIN ST SUITE 2400
HOUSTON, TX 77030-2312
Phone number: 713-790-9151
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Mailing Address
Mrs. MAUREEN KAY WALLACE RNFA
3 REGENT CT
SUGAR LAND, TX 77478-3968
Phone number: 281-491-7363
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