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1326350869
MARTIAL WALLACE
COMMERCE, CA
NPI
1326350869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
-- MARTIAL WALLACE
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number: 323-346-0960
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Mailing Address
-- MARTIAL WALLACE
6055 E WASHINGTON BLVD SUITE 900
COMMERCE, CA 90040-2449
Phone number:
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