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1013178128
CHARLES EARL WALL
FAYETTEVILLE, AR
NPI
1013178128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 1143)
Enumeration Date
2008-06-20
Last Update Date
2023-03-07
Business Address
-- CHARLES EARL WALL PA-C
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
-- CHARLES EARL WALL PA-C
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
Copy
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