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1447583844
WALLACE LEE WHITAKER
JOHNSON CITY, TN
NPI
1447583844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 5435)
Enumeration Date
2009-09-16
Last Update Date
2010-12-29
Business Address
Dr. WALLACE LEE WHITAKER D.Ph.
112 SUNSET DR
JOHNSON CITY, TN 37604-2503
Phone number: 423-283-0522
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Mailing Address
Dr. WALLACE LEE WHITAKER D.Ph.
112 SUNSET DR
JOHNSON CITY, TN 37604-2503
Phone number: 423-283-0522
Copy
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