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Gina Wallace
NPI 1356567176 · on the registry since 2007
Practice
- Address
- 42 Florence Ave
Painesville, OH 44077 - Phone
- (440) 413-0508
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2007-07-08
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 Ohio