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1609819952
ROBERT BRIAN WALLACE
FLORENCE, SC
NPI
1609819952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC SC1088)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
Dr. ROBERT BRIAN WALLACE O.D.
2014 S IRBY ST
FLORENCE, SC 29505-3420
Phone number: 843-679-9005
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Mailing Address
Dr. ROBERT BRIAN WALLACE O.D.
1305 MADISON AVE
FLORENCE, SC 29501-4528
Phone number: 843-661-5063
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