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1295749000
LESTER B. WALLACE
CHARLOTTE, NC
NPI
1295749000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NC 21891)
Enumeration Date
2006-07-28
Last Update Date
2013-02-19
Business Address
-- LESTER B. WALLACE MD
1718 E 4TH ST SUITE 201
CHARLOTTE, NC 28204-3261
Phone number: 704-384-0560
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Mailing Address
-- LESTER B. WALLACE MD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-0560
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