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1548975808
EMILY MARY WALLACE
TAMPA, FL
NPI
1548975808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-01-20
Last Update Date
2023-01-20
Business Address
EMILY MARY WALLACE
5447 E BEAUMONT CENTER BLVD
TAMPA, FL 33634-5210
Phone number: 888-754-0398
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Mailing Address
EMILY MARY WALLACE
5447 E BEAUMONT CENTER BLVD
TAMPA, FL 33634-5210
Phone number: 188-875-4039
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