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1033256029
MICHELLE WALLACE ALLEN
MIDLOTHIAN, VA
NPI
1033256029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: VA 0119001250)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- MICHELLE WALLACE ALLEN
13424 WELBY CT
MIDLOTHIAN, VA 23113-3662
Phone number: 804-986-7224
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Mailing Address
-- MICHELLE WALLACE ALLEN
1705 HEADWATERS RD
MIDLOTHIAN, VA 23113-4033
Phone number: 804-379-4014
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