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HATTIE WALLACE

Licensed Practical Nurse

NPI: 1164796520Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Code: 164W00000X

LP044351(AZ)

Contact & Hours

Address
14625 S MOUNTAIN PKWY, APT 1056
PHOENIX, AZ 85044

Quick Facts

NPI
1164796520
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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