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1235118050
LESLIE MICHELE WALLACE
EUGENE, OR
NPI
1235118050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 2726)
Enumeration Date
2006-01-11
Last Update Date
2007-07-08
Business Address
-- LESLIE MICHELE WALLACE PT
1034 LAWRENCE ST
EUGENE, OR 97401-3440
Phone number: 541-284-2084
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Mailing Address
-- LESLIE MICHELE WALLACE PT
1034 LAWRENCE ST
EUGENE, OR 97401-3440
Phone number: 541-284-2084
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