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1386789147
THOMAS W WALLACE
OAKLAND, CA
NPI
1386789147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA C37624)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- THOMAS W WALLACE M.D.
180 GRAND AVE STE 100
OAKLAND, CA 94612-3766
Phone number: 510-208-4700
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Mailing Address
-- THOMAS W WALLACE M.D.
180 GRAND AVE STE 100
OAKLAND, CA 94612-3766
Phone number: 510-208-4700
Copy
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