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1639734569
JOHN M WALLIS
PHILADELPHIA, PA
NPI
1639734569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA MT218139)
Enumeration Date
2019-05-06
Last Update Date
2019-06-09
Business Address
Dr. JOHN M WALLIS MD
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465
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Mailing Address
Dr. JOHN M WALLIS MD
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107-4405
Phone number: 215-955-8465
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