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1063494813
DIANNA MILDRED WALLS
ALLENTOWN, PA
NPI
1063494813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA UP005414B)
Enumeration Date
2005-11-17
Last Update Date
2015-12-23
Business Address
Ms. DIANNA MILDRED WALLS CRNP
1627 W CHEW ST SUITE 101
ALLENTOWN, PA 18102-3648
Phone number: 610-969-4370
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Mailing Address
Ms. DIANNA MILDRED WALLS CRNP
PO BOX 783311
PHILADELPHIA, PA 19178-3311
Phone number:
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