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1982173571
JAMES PRESTON WALLACE
CASTLE ROCK, CO
NPI
1982173571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: CO PTL.0016065)
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
Dr. JAMES PRESTON WALLACE DPT
6234 CASTLEGATE DR W APT 8112
CASTLE ROCK, CO 80108-8655
Phone number: 281-728-2981
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Mailing Address
Dr. JAMES PRESTON WALLACE DPT
6234 CASTLEGATE DR W APT 8112
CASTLE ROCK, CO 80108-8655
Phone number: 281-728-2981
Copy
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