RANDALL DEAN WALLACE

CAMBRIDGE, MN
NPI1689768707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MN  LP0683)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Mr. RANDALL DEAN WALLACE M.S.
133 2ND AVE SW
CAMBRIDGE, MN 55008-1552
Phone number: 763-689-9407
Mailing Address
Mr. RANDALL DEAN WALLACE M.S.
199 COON RAPIDS BLVD NW SUITE 306
COON RAPIDS, MN 55433-5831
Phone number: 763-780-1520
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