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1043468473
SHARON DENICE WALLACE
MEMPHIS, TN
NPI
1043468473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 0000000663)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
-- SHARON DENICE WALLACE
3909 COVINGTON PIKE
MEMPHIS, TN 38135-2281
Phone number: 901-377-1011
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Mailing Address
-- SHARON DENICE WALLACE
3909 COVINGTON PIKE
MEMPHIS, TN 38135-2281
Phone number: 901-377-1011
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