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1639481906
LANDON J WALLACE
MEMPHIS, TN
NPI
1639481906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 2934)
Enumeration Date
2010-07-02
Last Update Date
2018-05-11
Business Address
Dr. LANDON J WALLACE O.D.
5118 PARK AVE STE 101
MEMPHIS, TN 38117-5710
Phone number: 901-683-4529
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Mailing Address
Dr. LANDON J WALLACE O.D.
5118 PARK AVE STE 101
MEMPHIS, TN 38117-5710
Phone number: 901-683-4529
Copy
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