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1457323396
SHAWN G WALLACE
CHOCTAW, OK
NPI
1457323396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK PT1769)
Enumeration Date
2006-02-05
Last Update Date
2020-09-08
Business Address
DR. SHAWN G WALLACE PT, DPT
13390 NE 23RD ST
CHOCTAW, OK 73020-8622
Phone number: 405-769-5555
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Mailing Address
DR. SHAWN G WALLACE PT, DPT
13390 NE 23RD ST
CHOCTAW, OK 73020-8622
Phone number: 405-769-5555
Copy
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