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1871653345
WALLACE KEITH AMMON
HANOVER, PA
NPI
1871653345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD427608)
Enumeration Date
2006-12-12
Last Update Date
2021-01-16
Business Address
Dr. WALLACE KEITH AMMON MD
300 HIGHLAND AVE
HANOVER, PA 17331
Phone number: 717-988-0000
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Mailing Address
Dr. WALLACE KEITH AMMON MD
300 HIGHLAND AVE
HANOVER, PA 17331-2297
Phone number: 717-988-0000
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