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1871756957
ELLEN DEANNE WALLACE
WINCHESTER, KY
NPI
1871756957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 003834)
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
-- ELLEN DEANNE WALLACE PT
404 CEDAR CT
WINCHESTER, KY 40391-2923
Phone number: 859-737-5888
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Mailing Address
-- ELLEN DEANNE WALLACE PT
404 CEDAR CT
WINCHESTER, KY 40391-2923
Phone number: 859-737-5888
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