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1508852542
WALLACE G WILKERSON
TAMPA, FL
NPI
1508852542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME0039668)
Enumeration Date
2005-09-26
Last Update Date
2013-07-12
Business Address
Dr. WALLACE G WILKERSON MD
5840 W CYPRESS ST B
TAMPA, FL 33607-7004
Phone number: 813-286-0033
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Mailing Address
Dr. WALLACE G WILKERSON MD
5840 W CYPRESS ST B
TAMPA, FL 33607-7004
Phone number: 813-286-0033
Copy
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