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1902833619
WALLACE E JOHNSON
FAIRPORT, NY
NPI
1902833619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 200706)
Enumeration Date
2006-06-27
Last Update Date
2023-07-03
Business Address
WALLACE E JOHNSON MD
800 AYRAULT RD STE 200
FAIRPORT, NY 14450-8941
Phone number: 585-602-2300
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Mailing Address
WALLACE E JOHNSON MD
800 AYRAULT RD STE 200
FAIRPORT, NY 14450-8941
Phone number: 585-602-2300
Copy
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