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John Wallace
NPI 1053126706 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6732 S 73rd Street Cir
Ralston, NE 68127 - Phone
- (531) 772-8700
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Sex
- Male
- Record last updated
- 2025-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska