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1245781236
DEMARIO WALLS
MEMPHIS, TN
NPI
1245781236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 7317)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
DEMARIO WALLS R.D.H
1101 JOHN A DENIE RD
MEMPHIS, TN 38134-7630
Phone number: 901-384-5568
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Mailing Address
DEMARIO WALLS R.D.H
1659 CRESENT LN
SOUTHAVEN, MS 38671-7317
Phone number: 901-338-1916
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