Mr. Ernest Wallace
Mr. Ernest Wallace is a Contractor in Lawton, Oklahoma. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
1716 NW Cache Rd Ste BLawton, OK 73507-4551
Phone: (580) 574-8414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1942612551 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 30, 2014 |
| Last updated in NPPES | May 30, 2014 |
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