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1619541273
JOHN WALLACE
SAN ANTONIO, TX
NPI
1619541273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 105945)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
JOHN WALLACE
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
JOHN WALLACE
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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