B J WALLACE

ENGLEWOOD, CO
NPI1518001312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: CO  11470)
Enumeration Date2007-02-16
Last Update Date2007-10-05
Business Address
B J WALLACE
2955 S BROADWAY
ENGLEWOOD, CO 80113-1526
Phone number: 303-788-1124
Mailing Address
B J WALLACE
2955 S BROADWAY
ENGLEWOOD, CO 80113-1526
Phone number: 303-788-1124
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