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1497850085
FRED WALLACE
BESSEMER, AL
NPI
1497850085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-517-TA-090)
Enumeration Date
2006-09-14
Last Update Date
2010-06-02
Business Address
Dr. FRED WALLACE O.D.
1431 2ND AVE N
BESSEMER, AL 35020-5608
Phone number: 205-425-5182
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Mailing Address
Dr. FRED WALLACE O.D.
1431 2ND AVE N
BESSEMER, AL 35020-5608
Phone number: 205-425-5182
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