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1184654709
DEBORAH I WALLACE
LOUISVILLE, KY
NPI
1184654709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 39992)
Enumeration Date
2006-07-03
Last Update Date
2021-01-28
Business Address
DEBORAH I WALLACE M.D.
3840 RUCKRIEGEL PKWY SUITE 105
LOUISVILLE, KY 40299-6835
Phone number: 502-261-7227
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Mailing Address
DEBORAH I WALLACE M.D.
3840 RUCKRIEGEL PKWY SUITE 105
LOUISVILLE, KY 40299-6835
Phone number: 502-261-7227
Copy
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