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1568908952
KATELYN WALLACE
MANCHESTER, NH
NPI
1568908952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119006994)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- KATELYN WALLACE
3000 GOFFS FALLS RD STE 101
MANCHESTER, NH 03111-1000
Phone number: 800-995-2673
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Mailing Address
-- KATELYN WALLACE
3000 GOFFS FALLS RD STE 101
MANCHESTER, NH 03111-1000
Phone number: 800-995-2673
Copy
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