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Jasmine Wallace
NPI 1710324165 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5535 Nw Cache Rd
Apt:8g
Lawton, OK 73505 - Phone
- (580) 713-9316
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Female
- Record last updated
- 2013-05-24
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