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1760683924
JAMES G WALLACE
BREWSTER, WA
NPI
1760683924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 60167526)
Enumeration Date
2007-05-29
Last Update Date
2016-05-13
Business Address
DR. JAMES G WALLACE M.D.
525 JAY AVE
BREWSTER, WA 98812-3403
Phone number: 509-422-5700
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Mailing Address
DR. JAMES G WALLACE M.D.
PO BOX 1340 STE 100
OKANOGAN, WA 98840-1340
Phone number: 509-422-5700
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