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Individual
DR. WENDELL DAMYEON WALLACE-JUEDES
Active
Individual
DR. WENDELL DAMYEON WALLACE-JUEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2407
MA
Other
Enumeration date
04/19/2011
Last updated
03/10/2015
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