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1245648971
JODY LEE WALL
NEWARK, OH
NPI
1245648971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50.005258RX)
Enumeration Date
2014-07-25
Last Update Date
2022-12-15
Business Address
Mrs. JODY LEE WALL PA-C
1320 W MAIN ST
NEWARK, OH 43055-1822
Phone number: 220-564-4151
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Mailing Address
Mrs. JODY LEE WALL PA-C
1320 W MAIN ST
NEWARK, OH 43055-1822
Phone number: 220-564-4151
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