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ALLEN WALLACE

Private Vehicle

NPI: 1417683293Individual

Specialties, Licenses & Credentials

Driver

Driver

Code: 172A00000X

22954496(TX)
Private VehiclePrimary

Private Vehicle

Code: 347C00000X

22954496(TX)

Contact & Hours

Address
3506 E 14TH ST
LUBBOCK, TX 79403

Quick Facts

NPI
1417683293
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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