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EDNA WALLACE, LPN

LPN

Licensed Practical Nurse

NPI: 1255274411Individual

Specialties, Licenses & Credentials

Licensed Practical Nurse

Code: 164W00000X

P189022(MS)

Contact & Hours

Address
1555 N. MAIN STREET
FAYETTE, MS 39069

Quick Facts

NPI
1255274411
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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