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1598754053
WILSON KING WALLACE
VERO BEACH, FL
NPI
1598754053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: FL ME18644)
Enumeration Date
2005-10-18
Last Update Date
2010-04-14
Business Address
Dr. WILSON KING WALLACE MD
2750 INDIAN RIVER BLVD
VERO BEACH, FL 32960-5225
Phone number: 772-569-9500
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Mailing Address
Dr. WILSON KING WALLACE MD
2750 INDIAN RIVER BLVD
VERO BEACH, FL 32960-5225
Phone number: 772-569-9500
Copy
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