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1730247149
ROBERT S WALLACH
DURANGO, CO
NPI
1730247149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CO 46615)
Enumeration Date
2006-12-05
Last Update Date
2024-10-28
Business Address
ROBERT S WALLACH DO
555 RIVERGATE LN STE B1-101
DURANGO, CO 81301-7470
Phone number: 970-403-3324
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Mailing Address
ROBERT S WALLACH DO
555 RIVERGATE LN STE B1-101
DURANGO, CO 81301-7470
Phone number: 970-970-4269
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