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1538441241
TRACY CLARK WALLACE
ATLANTA, GA
NPI
1538441241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 6657)
Enumeration Date
2011-09-20
Last Update Date
2011-09-20
Business Address
Mrs. TRACY CLARK WALLACE PT
6600 PEACHTREE DUNWOODY RD NE BLDG 400 STE 125
ATLANTA, GA 30328-6773
Phone number: 770-225-8421
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Mailing Address
Mrs. TRACY CLARK WALLACE PT
6600 PEACHTREE DUNWOODY RD NE BLDG 400 STE 125
ATLANTA, GA 30328-6773
Phone number: 770-225-8421
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