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1891793923
ANTHONY PAUL WALLACE
ATASCADERO, CA
NPI
1891793923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 10294)
Enumeration Date
2005-07-12
Last Update Date
2022-08-10
Business Address
Mr. ANTHONY PAUL WALLACE P.T.
5255 EL CAMINO REAL STE C
ATASCADERO, CA 93422-3351
Phone number: 805-237-0272
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Mailing Address
Mr. ANTHONY PAUL WALLACE P.T.
5255 EL CAMINO REAL STE C
ATASCADERO, CA 93422-3351
Phone number: 805-237-0272
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