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1699096594
JAMES RICHARD WALLACE
BROOKLYN, NY
NPI
1699096594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
-- JAMES RICHARD WALLACE M.D.
4802 10TH AVENUE
BROOKLYN, NY 11209
Phone number: 718-283-8397
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Mailing Address
-- JAMES RICHARD WALLACE M.D.
4802 10TH AVENUE
BROOKLYN, NY 11209
Phone number: 718-283-8397
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