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1972070068
ASHLEY LYNNE WALLACE
SHERMAN, TX
NPI
1972070068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215129)
Enumeration Date
2018-10-27
Last Update Date
2018-10-27
Business Address
ASHLEY LYNNE WALLACE COTA/L
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number: 903-893-9636
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Mailing Address
ASHLEY LYNNE WALLACE COTA/L
1000 US HIGHWAY 82 E
SHERMAN, TX 75090-1704
Phone number: 903-893-9636
Copy
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