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1063464006
JAMES EDWARDS WALLACE
PINEVILLE, LA
NPI
1063464006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA MD.200134)
Enumeration Date
2006-05-17
Last Update Date
2014-06-19
Business Address
Dr. JAMES EDWARDS WALLACE MD
1135 EXPRESSWAY DR SUITE 200 A
PINEVILLE, LA 71360-6698
Phone number: 318-561-9600
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Mailing Address
Dr. JAMES EDWARDS WALLACE MD
1135 EXPRESSWAY DR SUITE 200 A
PINEVILLE, LA 71360-6698
Phone number: 318-561-9600
Copy
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