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1992278063
ALLIE ELIZABETH WALLACE
OPELIKA, AL
NPI
1992278063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET002852)
Enumeration Date
2019-01-10
Last Update Date
2024-07-24
Business Address
ALLIE ELIZABETH WALLACE
2202 GATEWAY DR STE C
OPELIKA, AL 36801-6870
Phone number: 706-741-4376
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Mailing Address
ALLIE ELIZABETH WALLACE
370 TELFORD DR
SUGAR HILL, GA 30518-7801
Phone number: 706-741-4376
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