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1801975255
LAURRI WALLACE
CARROLLTON, GA
NPI
1801975255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT006593)
Enumeration Date
2006-11-06
Last Update Date
2010-05-07
Business Address
-- LAURRI WALLACE PT
1004 BANKHEAD HWY BLDG A, STE 5
CARROLLTON, GA 30117-1852
Phone number: 770-834-5609
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Mailing Address
-- LAURRI WALLACE PT
1004 BANKHEAD HWY BLDG A, STE 5
CARROLLTON, GA 30117-1852
Phone number: 770-834-5609
Copy
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