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1245781590
LEIGH WALL
RALEIGH, NC
NPI
1245781590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0024174122)
Enumeration Date
2016-10-21
Last Update Date
2021-04-02
Business Address
LEIGH WALL NP-C
4325 LAKE BOONE TRL STE 315
RALEIGH, NC 27607-7510
Phone number: 984-974-0498
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Mailing Address
LEIGH WALL NP-C
4325 LAKE BOONE TRL STE 315
RALEIGH, NC 27607-7510
Phone number: 954-974-0498
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