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1487497970
LILLIAN WALLACE
HARTFORD, CT
NPI
1487497970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
LILLIAN WALLACE PA
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone number: 860-545-9000
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Mailing Address
LILLIAN WALLACE PA
175 CEDAR AVE
POUGHKEEPSIE, NY 12603-4727
Phone number: 845-392-3090
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