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1730423666
WALLACE WILSON
ANCHORAGE, AK
NPI
1730423666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1625)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
WALLACE WILSON MSPT
701 SESAME ST SUITE 101
ANCHORAGE, AK 99503-6647
Phone number: 907-561-2260
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Mailing Address
WALLACE WILSON MSPT
701 SESAME ST SUITE 101
ANCHORAGE, AK 99503-6647
Phone number:
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