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1851665541
ELIZABETH ANNE WALLACE
MIDLOTHIAN, VA
NPI
1851665541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: VA 0101251402)
Enumeration Date
2012-02-28
Last Update Date
2012-02-28
Business Address
Dr. ELIZABETH ANNE WALLACE MD
2384 COLONY CROSSING PL
MIDLOTHIAN, VA 23112-4280
Phone number: 804-423-3636
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Mailing Address
Dr. ELIZABETH ANNE WALLACE MD
309 RUNNING CEDAR LN
HENRICO, VA 23229-7953
Phone number: 804-282-1918
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