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1881923647
WALLACE M SHERIDAN JR
SAN ANTONIO, TX
NPI
1881923647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1096907)
Enumeration Date
2009-12-08
Last Update Date
2012-10-02
Business Address
-- WALLACE M SHERIDAN JR PT
5415 LOST LN
SAN ANTONIO, TX 78238-2754
Phone number: 210-448-9111
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Mailing Address
-- WALLACE M SHERIDAN JR PT
5415 LOST LN
SAN ANTONIO, TX 78238-2754
Phone number: 210-448-9111
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