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1952764474
JODI-ANNE WALLACE
GAINESVILLE, FL
NPI
1952764474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME139697)
Enumeration Date
2016-04-01
Last Update Date
2019-10-30
Business Address
JODI-ANNE WALLACE MD
1600 SW ARCHER RD SUITE 4102
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0239
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Mailing Address
JODI-ANNE WALLACE MD
PO BOX 100265
GAINESVILLE, FL 32610-0265
Phone number: 352-265-0239
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