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1407081649
JAMES VICTOR WALLACE
NEW HARTFORD, NY
NPI
1407081649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029663-1)
Enumeration Date
2009-05-18
Last Update Date
2009-05-18
Business Address
Mr. JAMES VICTOR WALLACE PT
2050 TILDEN AVE BOX 1000
NEW HARTFORD, NY 13413-3613
Phone number: 315-797-3114
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Mailing Address
Mr. JAMES VICTOR WALLACE PT
2050 TILDEN AVE PO BOX 1000
NEW HARTFORD, NY 13413-3613
Phone number: 315-797-3114
Copy
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