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1649609728
JUSTIN K WALLACE
CHICKASHA, OK
NPI
1649609728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174M00000X Veterinarian
(Licence: OK 5380)
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
DR. JUSTIN K WALLACE D.V.M.
120 S 6TH ST
CHICKASHA, OK 73018-3420
Phone number: 405-224-8023
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Mailing Address
DR. JUSTIN K WALLACE D.V.M.
120 S 6TH ST
CHICKASHA, OK 73018-3420
Phone number: 405-224-8023
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