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1134543952
TAMIKA WALLACE
LAS VEGAS, NV
NPI
1134543952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-02-13
Last Update Date
2014-02-13
Business Address
-- TAMIKA WALLACE
101 S RAINBOW BLVD SUITE #1
LAS VEGAS, NV 89145-5362
Phone number: 702-778-8922
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Mailing Address
-- TAMIKA WALLACE
101 S RAINBOW BLVD SUITE #1
LAS VEGAS, NV 89145-5362
Phone number: 702-778-8922
Copy
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