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1841289022
STEPHANIE R WALLACE
COLORADO SPRINGS, CO
NPI
1841289022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CO DR.0034435)
Enumeration Date
2005-10-19
Last Update Date
2018-09-06
Business Address
Dr. STEPHANIE R WALLACE MD
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80918
Phone number: 719-522-1134
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Mailing Address
Dr. STEPHANIE R WALLACE MD
2 S CASCADE AVE STE 140
COLORADO SPRINGS, CO 80903-1604
Phone number: 719-866-6568
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