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1619596335
DAVID ALEXANDER WALLACE
MEMPHIS, TN
NPI
1619596335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
DAVID ALEXANDER WALLACE
920 MADISON AVE STE 447
MEMPHIS, TN 38103-3438
Phone number: 901-448-2782
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Mailing Address
DAVID ALEXANDER WALLACE
60 S MAIN ST APT 103
MEMPHIS, TN 38103-5173
Phone number: 615-351-6072
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