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Individual
WALLACE E DUFF
Active
Individual
WALLACE E DUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11860
NE
207Y00000X
Otolaryngology Physician
11860
NE
Other
Enumeration date
09/01/2005
Last updated
01/18/2022
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