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1386601516
SALLIE CT WALLACE
MURFREESBORO, NC
NPI
1386601516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC 1073)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
Ms. SALLIE CT WALLACE ATC/L
200 JONES DR
MURFREESBORO, NC 27855-1844
Phone number: 252-398-6291
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Mailing Address
Ms. SALLIE CT WALLACE ATC/L
417 S 4TH ST
MURFREESBORO, NC 27855-2003
Phone number: 252-398-6291
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