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1669248589
KATLIN D WALLACE
RIDGELAND, MS
NPI
1669248589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MS OT-4069)
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
KATLIN D WALLACE OT
599C STEED RD
RIDGELAND, MS 39157-1707
Phone number: 601-427-4111
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Mailing Address
KATLIN D WALLACE OT
599C STEED RD
RIDGELAND, MS 39157-1707
Phone number: 601-427-4111
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