PAUL WALLACE

Licensed Practical Nurse

NPI: 1548444318Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

L0050977(OK)

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Contact & Hours

Address: 513 SE QUAPAW, GRAND LAKE MENTAL HEALTH CENTER
BARTLESVILLE, OK 74003
Phone: (918) 337-8080

Quick Facts

NPI: 1548444318
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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