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1447353784
WILLIAM C WALLACE
PORTSMOUTH, VA
NPI
1447353784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS009890L)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
-- WILLIAM C WALLACE DO
620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Phone number: 757-953-7550
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Mailing Address
-- WILLIAM C WALLACE DO
620 JOHN PAUL JONES CIRCLE NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Phone number: 757-953-7550
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