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1164467320
JOHN GEORGE WALLACE
TORRANCE, CA
NPI
1164467320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: CA G45690)
Enumeration Date
2006-06-19
Last Update Date
2012-09-19
Business Address
-- JOHN GEORGE WALLACE M.D.
4101 TORRANCE BLVD EM DEPT
TORRANCE, CA 90503-4607
Phone number: 310-540-7676
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Mailing Address
-- JOHN GEORGE WALLACE M.D.
4401 W MEMORIAL RD SUITE 121
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-751-4664
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