Wallace Eye Surgery
 
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Events Reservation Form

Seating is Limited So Make Your Reservations Below

Name: (Required)
Address:
City:
State:
Zip:
Daytime Phone:
Email: (Required)
Age: Male Female
Which event would you like to attend:

We will contact you to confirm your reservation.

  

Visit Us: 4110 Parliament Drive, Alexandria, LA 71303
Ph: 318-448-4488 | Fax: 318-448-9731 | Toll free: 800-349-4488
Contact e-mail address:
Dmoore@wallaceeyesurgery.com
Office hours: Monday - Friday, 8:00 a.m. to 5:00 p.m.

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