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1245773084
THOMAS E WALLS
PRESCOTT VALLEY, AZ
NPI
1245773084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN192472)
Enumeration Date
2016-11-28
Last Update Date
2018-06-27
Business Address
THOMAS E WALLS
3075 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ 86314
Phone number: 928-350-8780
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Mailing Address
THOMAS E WALLS
3075 N WINDSONG DR STE A
PRESCOTT VALLEY, AZ 86314-1208
Phone number: 928-350-8780
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