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KEVIN WALLACE
Massage Therapist
NPI: 1518391135Individual
Specialties, Licenses & Credentials
Massage TherapistPrimary
Massage Therapist
Code: 225700000X
48846(CA)
Contact & Hours
- Address
- 817 COFFEE RD STE D
MODESTO, CA 95355 - Phone
- (209) 527-6100
Quick Facts
- NPI
- 1518391135
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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