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1063419000
CARMEL WALLACE
LEXINGTON, KY
NPI
1063419000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 18479)
Enumeration Date
2005-07-06
Last Update Date
2015-12-18
Business Address
-- CARMEL WALLACE MD
138 LEADER AVE, OFFICE 241 UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS
LEXINGTON, KY 40506-9983
Phone number: 859-323-1432
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Mailing Address
-- CARMEL WALLACE MD
138 LEADER AVE, OFFICE 241 UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS
LEXINGTON, KY 40506-9983
Phone number: 859-323-1432
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