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1972039741
KRISTEN ASHLEY WALLACE
PHILADELPHIA, PA
NPI
1972039741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: PA OS023930)
Enumeration Date
2017-05-11
Last Update Date
2024-09-27
Business Address
Dr. KRISTEN ASHLEY WALLACE D.O.
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 445-242-5512
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Mailing Address
Dr. KRISTEN ASHLEY WALLACE D.O.
2929 ARCH ST FL 12
PHILADELPHIA, PA 19104-2857
Phone number: 445-242-5512
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