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1851351522
CRAIG PHILIP WALLACE
OLYMPIA, WA
NPI
1851351522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10003829)
Enumeration Date
2006-03-25
Last Update Date
2021-05-10
Business Address
Mr. CRAIG PHILIP WALLACE PA-C
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000
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Mailing Address
Mr. CRAIG PHILIP WALLACE PA-C
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000
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