Jasmine Renee Wallace
Jasmine Renee Wallace is a Contractor in Lawton, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5535 NW Cache Rd APT:8GLawton, OK 73505-3336
Phone: (580) 713-9316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1710324165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2013 |
| Last updated in NPPES | May 24, 2013 |
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