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1669859849
DIANA WALLACE
RENTON, WA
NPI
1669859849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT 00001911)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
-- DIANA WALLACE OT
1207 N 33RD ST
RENTON, WA 98056-1943
Phone number: 425-255-5465
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Mailing Address
-- DIANA WALLACE OT
1207 N 33RD ST
RENTON, WA 98056-1943
Phone number: 425-255-5465
Copy
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