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1487654653
WALLACE RUSSELL JENKINS
VALHALLA, NY
NPI
1487654653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NY 183800)
Enumeration Date
2005-07-28
Last Update Date
2013-07-23
Business Address
-- WALLACE RUSSELL JENKINS MD
503 GRASSLANDS RD STE 200
VALHALLA, NY 10595
Phone number: 914-304-5288
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Mailing Address
-- WALLACE RUSSELL JENKINS MD
503 GRASSLANDS RD STE 200
VALHALLA, NY 10595-1503
Phone number: 914-304-5288
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