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1881624989
BROOK STEPHEN WALLACE
FUQUAY VARINA, NC
NPI
1881624989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: NC 2625)
Enumeration Date
2006-07-04
Last Update Date
2007-07-09
Business Address
Dr. BROOK STEPHEN WALLACE DC
1000 N MAIN ST SUITE 101
FUQUAY VARINA, NC 27526-2056
Phone number: 919-577-0660
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Mailing Address
Dr. BROOK STEPHEN WALLACE DC
1000 N MAIN ST SUITE 101
FUQUAY VARINA, NC 27526-2056
Phone number: 919-577-0660
Copy
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