MARK R WALLACE
Medical Practice at Pulver Rd, Burlington, WA

License number
Florida 94199
Issued Date
Aug 26, 2005
Effective Date
Aug 26, 2005
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Medical Doctor
Address
Address
10596 Pulver Rd, Burlington, WA 98233
Phone
(407) 920-0383
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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