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1073500922
JANE SUEKO WALLACE
JBSA LACKLAND, TX
NPI
1073500922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 015337)
Enumeration Date
2005-10-05
Last Update Date
2019-07-31
Business Address
Dr. JANE SUEKO WALLACE DDS
1100 WILFORD HALL LOOP, BLDG 4554 ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236-9908
Phone number: 210-292-6225
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Mailing Address
Dr. JANE SUEKO WALLACE DDS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-6225
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