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1538323720
LILLIAN STENSON WALLACE
NEWNAN, GA
NPI
1538323720
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Former Name
LILLION MARIA STENSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT004075)
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
Mrs. LILLIAN STENSON WALLACE PT
105 KIMBERWICK TRL
NEWNAN, GA 30263-7110
Phone number: 404-314-1933
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Mailing Address
Mrs. LILLIAN STENSON WALLACE PT
105 KIMBERWICK TRL
NEWNAN, GA 30263-7110
Phone number: 404-314-1933
Copy
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