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1326260209
KATIE ETTER WALLACE
GAINESVILLE, GA
NPI
1326260209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT007836)
Enumeration Date
2007-05-02
Last Update Date
2013-06-06
Business Address
Dr. KATIE ETTER WALLACE DPT
597 S ENOTA DR NE
GAINESVILLE, GA 30501-2545
Phone number: 770-219-8204
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Mailing Address
Dr. KATIE ETTER WALLACE DPT
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-8402
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