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1982993366
TEREASA ANNE WALLACE
BOULDER, CO
NPI
1982993366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0102X Registered Nurse, Maternal Newborn
(Licence: CO 92415)
Enumeration Date
2011-04-06
Last Update Date
2011-04-06
Business Address
-- TEREASA ANNE WALLACE RN, MN
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
-- TEREASA ANNE WALLACE RN, MN
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 720-562-0566
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