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1417424862
VICKI DENICE WADE
LAWRENCEVILLE, GA
NPI
1417424862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1073039)
Enumeration Date
2018-10-24
Last Update Date
2023-06-19
Business Address
VICKI DENICE WADE PT
545 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 30046-3390
Phone number: 678-377-2833
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Mailing Address
VICKI DENICE WADE PT
665 GALLAGHER RD
MC QUEENEY, TX 78123-3282
Phone number: 254-541-2118
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