NANCY WALLER

PUEBLO, CO
NPI1093982647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CO  120)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
MRS. NANCY WALLER PA
1339 S PUEBLO BLVD
PUEBLO, CO 81005-1508
Phone number: 719-647-5831
Mailing Address
MRS. NANCY WALLER PA
1339 S PUEBLO BLVD
PUEBLO, CO 81005-1508
Phone number: 719-647-5831
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