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1386393551
CHRISTOPHER JACOB WALLACE
OCALA, FL
NPI
1386393551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
CHRISTOPHER JACOB WALLACE
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number: 352-401-1417
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Mailing Address
CHRISTOPHER JACOB WALLACE
1431 SW 1ST AVE
OCALA, FL 34471-6500
Phone number:
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