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1023015583
WALLACE HELLER
ALTUS, OK
NPI
1023015583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: OK 22963)
Enumeration Date
2005-06-30
Last Update Date
2008-04-23
Business Address
WALLACE HELLER MD
1200 E TAMARACK RD STE B
ALTUS, OK 73521-1234
Phone number: 580-482-4095
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Mailing Address
WALLACE HELLER MD
PO BOX 8190
ALTUS, OK 73522-8190
Phone number: 580-482-4781
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