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Individual

JOEL WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1420 STATE ROUTE 20, SEDRO WOOLLEY, WA 98284-4322
(360) 854-7400
(360) 854-7445
Mailing address
1420 STATE ROUTE 20, SEDRO WOOLLEY, WA 98284-4322
(360) 854-7400
(360) 854-7445

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61575880
WA

Other

Enumeration date
06/22/2026
Last updated
06/22/2026
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