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1962136895
KARINA JEAN WALLACE
CLARKSVILLE, IN
NPI
1962136895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71012683A)
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
KARINA JEAN WALLACE NP
101 POTTERS LN
CLARKSVILLE, IN 47129-1017
Phone number: 443-383-9300
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Mailing Address
KARINA JEAN WALLACE NP
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9477
Phone number: 443-383-9300
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