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1225045164
ALLAN M WALLACE
FORT WORTH, TX
NPI
1225045164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 2898TG)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Dr. ALLAN M WALLACE O.D.
11803 SOUTH FRWY SUITE 114
FORT WORTH, TX 76115
Phone number: 817-551-5600
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Mailing Address
Dr. ALLAN M WALLACE O.D.
605 STEAMBOAT CT
ARLINGTON, TX 76006-3761
Phone number: 817-551-5600
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