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1629089156
JEFFREY S WALLACE
ROCKWALL, TX
NPI
1629089156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: TX J3932)
Enumeration Date
2006-08-10
Last Update Date
2020-01-06
Business Address
Dr. JEFFREY S WALLACE M.D.
6800 HERITAGE PKWY STE 102
ROCKWALL, TX 75087-8746
Phone number: 972-463-1253
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Mailing Address
Dr. JEFFREY S WALLACE M.D.
PO BOX 2108
ROCKWALL, TX 75087-5008
Phone number: 972-463-1253
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