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1861633539
TRENTON WALLACE
OKLAHOMA CITY, OK
NPI
1861633539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OK 292)
Enumeration Date
2009-03-10
Last Update Date
2016-01-20
Business Address
Dr. TRENTON WALLACE
608 NW 9TH ST #4210
OKLAHOMA CITY, OK 73102-1068
Phone number: 405-446-8290
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Mailing Address
Dr. TRENTON WALLACE
608 NW 9TH ST #4210
OKLAHOMA CITY, OK 73102-1068
Phone number: 405-446-8290
Copy
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