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Ernest Wallace
NPI 1942612551 · on the registry since 2014
Practice
- Address
- 1716 Nw Cache Rd
Suite B
Lawton, OK 73507 - Phone
- (580) 574-8414
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Male
- Record last updated
- 2014-05-30
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 Oklahoma