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1356011977
DAVID G WALLACE
SAN FRANCISCO, CA
NPI
1356011977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: AZ 95230212)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
DAVID G WALLACE
52 DORE ST
SAN FRANCISCO, CA 94103-3828
Phone number: 415-861-0828
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Mailing Address
DAVID G WALLACE
368 FELL ST
SAN FRANCISCO, CA 94102-5144
Phone number: 415-861-0828
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