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TINA WALLACE

Licensed Vocational Nurse

NPI: 1326484056Individual

Specialties, Licenses & Credentials

Licensed Vocational Nurse

Code: 164X00000X

31662-31(WI)

Contact & Hours

Address
4603 40TH AVE
KENOSHA, WI 53144

Quick Facts

NPI
1326484056
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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