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1841288016
WALLACE R HODGES
SEATTLE, WA
NPI
1841288016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00015517)
Enumeration Date
2005-10-11
Last Update Date
2014-03-25
Business Address
-- WALLACE R HODGES MD
901 BOREN AVE STE 615
SEATTLE, WA 98104-3595
Phone number: 206-467-1457
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Mailing Address
-- WALLACE R HODGES MD
901 BOREN AVE STE 615
SEATTLE, WA 98104-3595
Phone number: 206-467-1457
Copy
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