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1194161786
MARY BERNADETTE WALL
NOVI, MI
NPI
1194161786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: FL RN9211314)
Enumeration Date
2013-05-22
Last Update Date
2013-05-22
Business Address
-- MARY BERNADETTE WALL RN
27175 HAGGERTY RD
NOVI, MI 48377-3626
Phone number: 248-799-8303
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Mailing Address
-- MARY BERNADETTE WALL RN
581 BLUE HERON DR APT 308B
HALLANDALE BEACH, FL 33009-5738
Phone number: 917-853-2727
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