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1396790986
DENNIS LEE WALLACE
FLINT, MI
NPI
1396790986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601002261)
Enumeration Date
2006-05-23
Last Update Date
2010-08-11
Business Address
-- DENNIS LEE WALLACE P.A.
4100 BEECHER RD SUITE A
FLINT, MI 48532-3661
Phone number: 810-342-3800
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Mailing Address
-- DENNIS LEE WALLACE P.A.
4100 BEECHER RD SUITE A
FLINT, MI 48532-3661
Phone number: 810-342-3800
Copy
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