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1184656860
DANIEL G WALLACE
LA MESA, CA
NPI
1184656860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G71835)
Enumeration Date
2006-07-06
Last Update Date
2021-11-30
Business Address
Dr. DANIEL G WALLACE MD
3875 AVOCADO BLVD
LA MESA, CA 91941-7303
Phone number: 800-290-5000
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Mailing Address
Dr. DANIEL G WALLACE MD
393 E WALNUT ST
PASADENA, CA 91188-0001
Phone number: 800-290-5000
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