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1427628130
NICHOLAS JAMES WALLACE
JACKSONVILLE, FL
NPI
1427628130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN25997)
Enumeration Date
2021-06-26
Last Update Date
2021-06-26
Business Address
Dr. NICHOLAS JAMES WALLACE DMD
7885 NORMANDY BLVD
JACKSONVILLE, FL 32221-6640
Phone number: 904-441-5908
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Mailing Address
Dr. NICHOLAS JAMES WALLACE DMD
4000 SAINT JOHNS AVE APT 5415
JACKSONVILLE, FL 32205-9485
Phone number: 239-398-6632
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