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1144075383
KYLE WALLACE
CHAPEL HILL, NC
NPI
1144075383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC RTL24-0106)
Enumeration Date
2024-04-22
Last Update Date
2024-04-24
Business Address
KYLE WALLACE MD
130 MASON FARM RD # 7055
CHAPEL HILL, NC 27599-6134
Phone number: 919-966-9071
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Mailing Address
KYLE WALLACE MD
130 MASON FARM RD # 7055
CHAPEL HILL, NC 27599-6134
Phone number: 919-966-9071
Copy
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