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1770537649
ELAINE WALLACE
DAVIE, FL
NPI
1770537649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: FL OS8356)
Enumeration Date
2006-05-22
Last Update Date
2013-09-25
Business Address
Dr. ELAINE WALLACE D.O.
3200 S UNIVERSITY DR #4316
DAVIE, FL 33328-2018
Phone number: 954-262-4316
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Mailing Address
Dr. ELAINE WALLACE D.O.
3001 W ROLLING HILLS CIR 1-408
DAVIE, FL 33328-1948
Phone number:
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