KACEY L WALLACE

CHICKASHA, OK
NPI1306868534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  4339)
Enumeration Date2006-07-24
Last Update Date2023-11-24
Business Address
KACEY L WALLACE DO
1000 W CHOCTAW AVE STE 9
CHICKASHA, OK 73018
Phone number: 405-544-2940
Mailing Address
KACEY L WALLACE DO
1000 W CHOCTAW AVE STE 9
CHICKASHA, OK 73018
Phone number: 405-544-2940
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