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1972510923
ANNE WALLACE
FORT COLLINS, CO
NPI
1972510923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CO 58303)
Enumeration Date
2006-08-02
Last Update Date
2022-07-21
Business Address
ANNE WALLACE MD
1006 CENTRE AVE
FORT COLLINS, CO 80526-1849
Phone number: 970-482-9001
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Mailing Address
ANNE WALLACE MD
1006 CENTRE AVE
FORT COLLINS, CO 80526-1849
Phone number: 970-482-9001
Copy
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