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1417225806
SHAWNA T. WALLACE
IRVINE, CA
NPI
1417225806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 20540)
Enumeration Date
2011-12-13
Last Update Date
2011-12-13
Business Address
-- SHAWNA T. WALLACE PT
21 BUTTERFLY
IRVINE, CA 92604-1951
Phone number: 949-653-2383
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Mailing Address
-- SHAWNA T. WALLACE PT
21 BUTTERFLY
IRVINE, CA 92604-1951
Phone number:
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