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1881668085
GENE AMBROSE WALLIN
CAMP LEJEUNE, NC
NPI
1881668085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 15347)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
Dr. GENE AMBROSE WALLIN M.D.
100 BREWSTER BLVD OCCUPATIONAL HEALTH CLINIC-BLDG 65
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-451-5707
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Mailing Address
Dr. GENE AMBROSE WALLIN M.D.
1118 TWO MILE CIR W
WILMINGTON, NC 28405-4125
Phone number: 910-509-1784
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