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1114960879
DANA V WALLACE MD PA
FT LAUDERDALE, FL
NPI
1114960879
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Entity Type
Organization
Authorized Contact
DANA V WALLACE
President
954-963-5363
Organization Subpart ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
Enumeration Date
2006-06-13
Last Update Date
2020-08-22
Business Address
DANA V WALLACE MD PA
2699 STIRLING ROAD SUITE B305
FT LAUDERDALE, FL 33312
Phone number: 954-963-5363
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Mailing Address
DANA V WALLACE MD PA
2699 STIRLING ROAD SUITE B305
FT LAUDERDALE, FL 33312
Phone number: 954-963-5363
Copy
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