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1477750081
AUGUST MICHAEL WALLACE
LONGVIEW, TX
NPI
1477750081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 7660)
Enumeration Date
2007-06-27
Last Update Date
2021-09-20
Business Address
Dr. AUGUST MICHAEL WALLACE O.D.
3032 N EASTMAN RD STE 100
LONGVIEW, TX 75605-5024
Phone number: 903-663-2020
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Mailing Address
Dr. AUGUST MICHAEL WALLACE O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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