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1730794041
DOUGLAS WALLACE
WILBRAHAM, MA
NPI
1730794041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: MA 494)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
DOUGLAS WALLACE
95 POST OFFICE PARK
WILBRAHAM, MA 01095-1248
Phone number: 413-599-0430
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Mailing Address
DOUGLAS WALLACE
128 GARLAND ST
SPRINGFIELD, MA 01118-2219
Phone number:
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