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1912977885
JENNIFER WALLACE
GILBERT, AZ
NPI
1912977885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AZ 31229)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
Dr. JENNIFER WALLACE M.D.
2550 E GUADALUPE RD #115
GILBERT, AZ 85234-5114
Phone number: 480-632-1544
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Mailing Address
Dr. JENNIFER WALLACE M.D.
6301 S MCCLINTOCK DR #101
TEMPE, AZ 85283-3392
Phone number: 480-214-2300
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