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1508880493
WILLIAM C WALLACE
LEBANON, TN
NPI
1508880493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT 4793)
Enumeration Date
2006-07-26
Last Update Date
2013-06-07
Business Address
-- WILLIAM C WALLACE PT
1113 N CASTLE HEIGHTS AVE SUITE D
LEBANON, TN 37087-5640
Phone number: 615-965-9000
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Mailing Address
-- WILLIAM C WALLACE PT
1113 N CASTLE HEIGHTS AVE SUITE D
LEBANON, TN 37087-5640
Phone number: 615-965-9000
Copy
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