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1467962308
EMILY KAY WALLACE
ALAMOSA, CO
NPI
1467962308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-10-05
Last Update Date
2017-10-05
Business Address
EMILY KAY WALLACE ATC
208 EDGEMONT BLVD
ALAMOSA, CO 81101-2320
Phone number: 719-587-8246
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Mailing Address
EMILY KAY WALLACE ATC
1307 W 11TH ST UNIT 11
ALAMOSA, CO 81101-3358
Phone number: 580-484-0966
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