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1811088933
BRUCE J WALLACE
RENO, NV
NPI
1811088933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NV 3504)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. BRUCE J WALLACE M.D.
699 SIERRA ROSE DR STE A
RENO, NV 89511-2069
Phone number: 775-823-8166
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Mailing Address
Dr. BRUCE J WALLACE M.D.
699 SIERRA ROSE DR STE A
RENO, NV 89511-2069
Phone number: 775-823-8166
Copy
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