ATO WALLACE

LEXINGTON, KY
NPI1417537002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
ATO WALLACE MD
800 ROSE ST
LEXINGTON, KY 40536-7001
Phone number: 859-232-6162
Mailing Address
ATO WALLACE MD
800 ROSE ST
LEXINGTON, KY 40536-7001
Phone number: 859-323-6162
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