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1932475977
DONNA LEE WALLACE
SPRING, TX
NPI
1932475977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX 101953)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
Ms. DONNA LEE WALLACE OT/L
5600 CYPRESSWOOD DR
SPRING, TX 77379-8260
Phone number: 832-559-7767
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Mailing Address
Ms. DONNA LEE WALLACE OT/L
5600 CYPRESSWOOD DR
SPRING, TX 77379-8260
Phone number: 832-559-7767
Copy
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