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1396875589
YVETTE M WALLACE
SAN ANTONIO, TX
NPI
1396875589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1049617)
Enumeration Date
2007-03-06
Last Update Date
2007-07-09
Business Address
-- YVETTE M WALLACE PT
5331 HAMILTON WOLFE RD
SAN ANTONIO, TX 78229-4420
Phone number: 610-991-2034
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Mailing Address
-- YVETTE M WALLACE PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 610-991-2034
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