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1396403325
GARRETT JAMES WALLACE
ATLANTA, GA
NPI
1396403325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-12-07
Last Update Date
2021-12-07
Business Address
Mr. GARRETT JAMES WALLACE
100 WOODRUFF CIR NE STE 231
ATLANTA, GA 30322-1020
Phone number: 404-727-5660
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Mailing Address
Mr. GARRETT JAMES WALLACE
100 WOODRUFF CIR NE STE 231
ATLANTA, GA 30322-1020
Phone number: 404-727-5660
Copy
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