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1023066354
JAMIE RUSSELLE WALLACE
SCOTTSDALE, AZ
NPI
1023066354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 12810)
Enumeration Date
2006-05-05
Last Update Date
2022-07-21
Business Address
-- JAMIE RUSSELLE WALLACE MD
10752 N 89TH PL #126
SCOTTSDALE, AZ 85260
Phone number: 480-860-1161
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Mailing Address
-- JAMIE RUSSELLE WALLACE MD
10752 N 89TH PL #126
SCOTTSDALE, AZ 85260
Phone number: 480-860-1161
Copy
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