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1558417436
LAURA JEAN WALLACE
MEDINA, OH
NPI
1558417436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 02040)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Mrs. LAURA JEAN WALLACE LPTA
4691 WINDFALL RD
MEDINA, OH 44256-8705
Phone number: 330-727-7751
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Mailing Address
Mrs. LAURA JEAN WALLACE LPTA
10596 CROW RD
LITCHFIELD, OH 44253-9537
Phone number: 330-723-5765
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