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1972230738
ANGELA WALLACE
SACRAMENTO, CA
NPI
1972230738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95021029)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
ANGELA WALLACE FNP
21 METRO LN
SACRAMENTO, CA 95816-4396
Phone number: 405-210-0778
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Mailing Address
ANGELA WALLACE FNP
21 METRO LN
SACRAMENTO, CA 95816-4396
Phone number:
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