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1245528165
LAURA INGRAM WALPOLE
PEORIA, AZ
NPI
1245528165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 968)
Enumeration Date
2011-07-12
Last Update Date
2016-10-27
Business Address
LAURA INGRAM WALPOLE DO
9749 W TONOPAH DR
PEORIA, AZ 85382-5110
Phone number: 623-693-0476
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Mailing Address
LAURA INGRAM WALPOLE DO
9749 W TONOPAH DR
PEORIA, AZ 85382-5110
Phone number: 623-693-0476
Copy
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