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1992735302
JOHN K WALLACE
DOTHAN, AL
NPI
1992735302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: AL 00013178)
Enumeration Date
2006-07-03
Last Update Date
2010-03-22
Business Address
Dr. JOHN K WALLACE MD
2664 HARTFORD HWY
DOTHAN, AL 36305-4904
Phone number: 334-699-2244
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Mailing Address
Dr. JOHN K WALLACE MD
2664 HARTFORD HWY
DOTHAN, AL 36305-4904
Phone number: 334-699-2244
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