KEVIN WALLACE

BOSTON, MA
NPI1225388457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MA  S50607188)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
Mr. KEVIN WALLACE
30 WARREN ST
BOSTON, MA 02135-3602
Phone number: 617-254-3800
Mailing Address
Mr. KEVIN WALLACE
555 WASHINGTON ST
BRIGHTON, MA 02135-2591
Phone number:
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