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1508397688
WILLIAM WALLACE
TORRANCE, CA
NPI
1508397688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-03-21
Last Update Date
2022-01-25
Business Address
WILLIAM WALLACE
4025 W 226TH ST
TORRANCE, CA 90505-2340
Phone number: 310-373-4556
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Mailing Address
WILLIAM WALLACE
4025 W 226TH ST
TORRANCE, CA 90505-2340
Phone number: 310-373-4556
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