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1922663392
RYAN LEE WALLACE
WASHINGTON, DC
NPI
1922663392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-01
Last Update Date
2022-07-29
Business Address
Dr. RYAN LEE WALLACE MD
110 IRVING ST NW
WASHINGTON, DC 20010-3017
Phone number: 202-877-7000
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Mailing Address
Dr. RYAN LEE WALLACE MD
110 IRVING ST NW
WASHINGTON, DC 20010-3017
Phone number: 202-877-7000
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