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1962078295
CAROLINE WALLACE
CONCORD, NC
NPI
1962078295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 5014470)
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
CAROLINE WALLACE
101 CABARRUS AVE E
CONCORD, NC 28025-3699
Phone number: 888-849-7379
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Mailing Address
CAROLINE WALLACE
101 CABARRUS AVE E
CONCORD, NC 28025-3699
Phone number: 888-849-7379
Copy
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