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1982971750
LAURIE SUE NELSON WALLACE
PHOENIX, AZ
NPI
1982971750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AZ 4932)
Enumeration Date
2011-11-22
Last Update Date
2018-08-24
Business Address
Ms. LAURIE SUE NELSON WALLACE OTR/L
4045 E UNION HILLS DR STE 110
PHOENIX, AZ 85050
Phone number: 602-485-4444
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Mailing Address
Ms. LAURIE SUE NELSON WALLACE OTR/L
11105 E SAHUARO DR
SCOTTSDALE, AZ 85259-3994
Phone number: 480-296-8115
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