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1245269943
WILLIAM DEAN WALLACE
LOS ANGELES, CA
NPI
1245269943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA A77909)
Enumeration Date
2006-07-03
Last Update Date
2023-11-27
Business Address
WILLIAM DEAN WALLACE MD
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 323-442-2582
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Mailing Address
WILLIAM DEAN WALLACE MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-2582
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