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1962484634
GARY RHETT WALLACE
FORT BRAGG, NC
NPI
1962484634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J8821)
Enumeration Date
2005-11-17
Last Update Date
2007-07-08
Business Address
Dr. GARY RHETT WALLACE M.D., FAAFP
BLDG 5-4257 BASTOGNE EXTENSION
FORT BRAGG, NC 28310-0001
Phone number: 910-907-9560
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Mailing Address
Dr. GARY RHETT WALLACE M.D., FAAFP
2817 REILLY RD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-7324
Phone number: 910-907-8922
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