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Registry No. 20953

Telephone
Office: Regent 7-4425
Residence: Regent 4-6526

Robert Wallis, M.D.
875 Fifth Avenue  New York

For__________________________  
Age___________
Address_______________________________  
Date__________

Rx

Mr. Alain Levy
9 Williamstreet House
Knightsbridge,
London, England

Transcription Notes:
d ---------- Reopened for Editing 2024-02-15 10:36:09