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1902014079
LAJUANA WALLACE
DALLAS, TX
NPI
1902014079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2057823)
Enumeration Date
2007-05-20
Last Update Date
2007-09-06
Business Address
-- LAJUANA WALLACE
8039 SCYENE CIR
DALLAS, TX 75227-5534
Phone number: 972-437-9389
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Mailing Address
-- LAJUANA WALLACE
1304 TANGLEWOOD DR APT A
WESTWEGO, LA 70094-5249
Phone number:
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