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1275663916
JOHN ROBERT WALLACE
NAGS HEAD, NC
NPI
1275663916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 5301)
Enumeration Date
2007-03-06
Last Update Date
2020-03-10
Business Address
Mr. JOHN ROBERT WALLACE MSPT
103 W WOODHILL DR SUITE A
NAGS HEAD, NC 27959
Phone number: 252-441-8580
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Mailing Address
Mr. JOHN ROBERT WALLACE MSPT
PO BOX 716
KILL DEVIL HILLS, NC 27948
Phone number: 252-441-8580
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