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1063523488
JOHN F WALLACE
DES MOINES, IA
NPI
1063523488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IA 775)
Enumeration Date
2006-08-31
Last Update Date
2009-04-09
Business Address
-- JOHN F WALLACE Ph.D.
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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Mailing Address
-- JOHN F WALLACE Ph.D.
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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