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Tiara Wallace
NPI 1548523814 · on the registry since 2012
Practice
- Address
- 9255 N Macarthur Blvd Apt B
Oklahoma City, OK 73132 - Phone
- (405) 974-0115
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2012-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma