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1306882725
THOMAS EVANS WALLACE
WILLIAMSPORT, PA
NPI
1306882725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD045078L)
Enumeration Date
2006-06-22
Last Update Date
2022-10-05
Business Address
THOMAS EVANS WALLACE MD
145 SHAFFER ST
WILLIAMSPORT, PA 17702-6727
Phone number: 570-327-1335
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Mailing Address
THOMAS EVANS WALLACE MD
7 DOCK HILL RD
MIDDLEBURG, PA 17842-8910
Phone number: 570-837-2123
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