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1235497785
AARON WALLIS
CANADIAN, OK
NPI
1235497785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
-- AARON WALLIS
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 918-339-5800
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Mailing Address
-- AARON WALLIS
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number:
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