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1790822922
LEIGH A WALLACE
MONTGOMERY, AL
NPI
1790822922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 2258)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- LEIGH A WALLACE SP
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744
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Mailing Address
-- LEIGH A WALLACE SP
4154 LOMAC ST
MONTGOMERY, AL 36106-2815
Phone number: 334-262-5744
Copy
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