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Individual

JAMES CHRISTOPHER WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
CGC CHASE (WHEC-718) FPO AP 96662-3932 32ND ST, SAN DIEGO, CA 92106
(858) 776-7161
Mailing address
CGC CHASE (WHEC-718), FPO AP 96662-3932 32ND ST, SAN DIEGO, CA 92106
(858) 776-7161

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B181678
CA

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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