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1447496922
DARRELL Y WALLACE
CONCORD, MA
NPI
1447496922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: MA 203604)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
DARRELL Y WALLACE Lic. Ac.
THE CONCORD CLINIC 56 WINTHROP STREET
CONCORD, MA 01742
Phone number: 617-719-4592
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Mailing Address
DARRELL Y WALLACE Lic. Ac.
123 BELMONT ST
BELMONT, MA 02478-3638
Phone number: 617-719-4592
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