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1871794495
JESSE BRYAN WALLACE
SAN ANTONIO, TX
NPI
1871794495
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 10627)
Enumeration Date
2007-05-30
Last Update Date
2008-08-21
Business Address
Dr. JESSE BRYAN WALLACE D.C.
7410 BLANCO RD SUITE 400
SAN ANTONIO, TX 78216-4363
Phone number: 800-404-6050
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Mailing Address
Dr. JESSE BRYAN WALLACE D.C.
7410 BLANCO RD SUITE 400
SAN ANTONIO, TX 78216-4363
Phone number: 800-404-6050
Copy
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