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1770175473
LAUREN A WALLACE
RIDGELAND, MS
NPI
1770175473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT7018)
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
LAUREN A WALLACE DPT
950 E COUNTY LINE RD STE A
RIDGELAND, MS 39157-1928
Phone number: 601-487-6088
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Mailing Address
LAUREN A WALLACE DPT
950 E COUNTY LINE RD STE A
RIDGELAND, MS 39157-1928
Phone number:
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