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1518253905
MEGAN WALLACE
RIVERSIDE, CA
NPI
1518253905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 19025)
Enumeration Date
2011-06-23
Last Update Date
2011-06-23
Business Address
Mrs. MEGAN WALLACE M.S., C.C.C-SLP
6180 BROCKTON AVE SUITE 202
RIVERSIDE, CA 92506-2228
Phone number: 951-684-6500
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Mailing Address
Mrs. MEGAN WALLACE M.S., C.C.C-SLP
12679 TWIN PEAK CT
RIVERSIDE, CA 92503-8403
Phone number: 951-684-6500
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