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1013158831
JIM WALL
TAMPA, FL
NPI
1013158831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2009-03-09
Last Update Date
2009-03-09
Business Address
-- JIM WALL
6706 SEA ROBIN PL
TAMPA, FL 33615-2548
Phone number: 813-758-0319
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Mailing Address
-- JIM WALL
6706 SEA ROBIN PL
TAMPA, FL 33615-2548
Phone number: 813-758-0319
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