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1861073694
SHAWNEE WALLACE
SAN ANTONIO, TX
NPI
1861073694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
SHAWNEE WALLACE DO
100 N SANTA ROSA
SAN ANTONIO, TX 78207-3205
Phone number: 210-704-3910
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Mailing Address
SHAWNEE WALLACE DO
1 BAYLOR PLZ
HOUSTON, TX 77030-3411
Phone number: 713-798-5928
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