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1336825926
BRYAN MICHAEL WALLACE
CAMP LEJEUNE, NC
NPI
1336825926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-06-27
Last Update Date
2023-06-30
Business Address
BRYAN MICHAEL WALLACE SOIDC
1ST MARINE RAIDER BATTALION STONE BAY
CAMP LEJEUNE, NC 28542
Phone number: 910-440-2504
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Mailing Address
BRYAN MICHAEL WALLACE SOIDC
PSC BOX 20184
CAMP LEJEUNE, NC 28542
Phone number: 910-440-2504
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