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1679560965
WARREN LEE WALLACE
ANNISTON, AL
NPI
1679560965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL a7476)
Enumeration Date
2005-10-01
Last Update Date
2007-07-08
Business Address
-- WARREN LEE WALLACE M.D.
1900 CHRISTINE AVE
ANNISTON, AL 36207-3263
Phone number: 256-237-0752
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Mailing Address
-- WARREN LEE WALLACE M.D.
1900 CHRISTINE AVE
ANNISTON, AL 36207-3263
Phone number: 256-237-0752
Copy
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