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1972585156
JOHN HUGH G WALLACE
GROTON, CT
NPI
1972585156
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Former Name
HUGH G WALLACE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810002367)
Enumeration Date
2005-11-15
Last Update Date
2007-07-08
Business Address
Dr. JOHN HUGH G WALLACE PhD
NAVAL AMBULATORY CARE CENTER ROUTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRS
GROTON, CT 06349-5600
Phone number: 860-694-2377
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Mailing Address
Dr. JOHN HUGH G WALLACE PhD
NAVAL AMBULATORY CARE CENTER ROUTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRS
GROTON, CT 06349-5600
Phone number: 860-694-2377
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