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Jessica Wallace
NPI 1659637478 · on the registry since 2012 · sole proprietor
Practice
- Address
- 26652 Muse Road
Muse, OK 74949 - Phone
- (918) 567-1719
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Sex
- Female
- Record last updated
- 2012-04-05
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