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1487991683
ROBERT J WALLACE
CHICAGO, IL
NPI
1487991683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198000640)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
-- ROBERT J WALLACE LAc, LMT
1619 W MONTROSE CHICAGO HOLISTIC MEDICINE
CHICAGO, IL 60613
Phone number: 773-248-4489
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Mailing Address
-- ROBERT J WALLACE LAc, LMT
1619 W MONTROSE
CHICAGO, IL 60613
Phone number: 773-248-4489
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