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1891546727
DIANA WALLACE
RICHMOND, VA
NPI
1891546727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204230)
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
DIANA WALLACE
1800 GASKINS RD
RICHMOND, VA 23238-4324
Phone number: 804-998-3671
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Mailing Address
DIANA WALLACE
1800 GASKINS RD
RICHMOND, VA 23238-4324
Phone number:
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