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1194052654
ROBERT T WALLACE
CHARLOTTE, NC
NPI
1194052654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2009-11-04
Last Update Date
2009-11-04
Business Address
-- ROBERT T WALLACE C.Ped.
2001 E 7TH ST
CHARLOTTE, NC 28204-3311
Phone number: 704-334-1860
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Mailing Address
-- ROBERT T WALLACE C.Ped.
2001 E 7TH ST
CHARLOTTE, NC 28204-3311
Phone number: 704-334-1860
Copy
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