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1659400471
DIANE WALLACE
EL PASO, TX
NPI
1659400471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 14445)
Enumeration Date
2007-03-05
Last Update Date
2012-11-02
Business Address
Ms. DIANE WALLACE SLP
11150 MONTWOOD DRIVE BLDG A.
EL PASO, TX 79936
Phone number: 915-594-0202
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Mailing Address
Ms. DIANE WALLACE SLP
11150 MONTWOOD DRIVE BLDG A.
EL PASO, TX 79936
Phone number: 915-594-0202
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