R. LARRY WALLACE

ARTESIA, NM
NPI1821167800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: NM  1212)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
Dr. R. LARRY WALLACE D.C.
612 W GRAND AVE
ARTESIA, NM 88210-2054
Phone number: 505-748-2700
Mailing Address
Dr. R. LARRY WALLACE D.C.
612 W GRAND AVE
ARTESIA, NM 88210-2054
Phone number: 505-748-2700
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