Demographics
DOB: Mar 17, 1951
Sex: M
Status: active
Email: wallace@wavecable.com
Mobile: 9713045498
Home: 9717074914
Department: WEST SALEM
Primary Provider: —
Last Synced: Jun 17, 2026, 2:13 PM
Address: 1546 6th St NW, SALEM, OR, 97304
Vital (7)
| Type | Description | Onset / Date | Status |
|---|---|---|---|
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — | |
| Vital | Oct 26, 2022 | — |
Well-Life Assistant
File: WALLACE, Phillip
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