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1801242946
REGINALD EUGENE WALLACE
BALTIMORE, MD
NPI
1801242946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A4439)
Enumeration Date
2016-05-08
Last Update Date
2016-05-08
Business Address
-- REGINALD EUGENE WALLACE PTA
6137 DUNROMING RD
BALTIMORE, MD 21239-1924
Phone number: 443-610-9579
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Mailing Address
-- REGINALD EUGENE WALLACE PTA
6137 DUNROMING RD
BALTIMORE, MD 21239-1924
Phone number: 443-610-9579
Copy
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