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1053359208
CLINTON BARRETT WALLIS
MOBILE, AL
NPI
1053359208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AL 2224)
Enumeration Date
2006-06-02
Last Update Date
2007-08-24
Business Address
Mr. CLINTON BARRETT WALLIS O.T.
709 DOWNTOWNER LOOP W
MOBILE, AL 36609-5503
Phone number: 251-380-1111
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Mailing Address
Mr. CLINTON BARRETT WALLIS O.T.
709 DOWNTOWNER LOOP W
MOBILE, AL 36609-5503
Phone number: 251-380-1111
Copy
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