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1295399236
WALLACE WILSON
CINCINNATI, OH
NPI
1295399236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
Dr. WALLACE WILSON MD
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-558-7043
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Mailing Address
Dr. WALLACE WILSON MD
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number:
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