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1093143745
WILLIAM DEAN WALLACE
MURRAY, UT
NPI
1093143745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZI0100X Pathology Immunopathology
(Licence: UT 168418-1205)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
DR. WILLIAM DEAN WALLACE M.D.
747 W 4170 S
MURRAY, UT 84123-1364
Phone number: 801-260-6015
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Mailing Address
DR. WILLIAM DEAN WALLACE M.D.
747 W 4170 S
MURRAY, UT 84123-1364
Phone number: 801-260-6015
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