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1609959451
ROXANNE ELIZABETH WALLACE
FORT CAMPBELL, KY
NPI
1609959451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: NH 14950)
Enumeration Date
2006-10-23
Last Update Date
2019-02-05
Business Address
Dr. ROXANNE ELIZABETH WALLACE M.D.
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone number: 270-798-7694
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Mailing Address
Dr. ROXANNE ELIZABETH WALLACE M.D.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-7694
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