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1295747418
GREGORY CONRAD WALL
LINTON, IN
NPI
1295747418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: IN 01033829)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Dr. GREGORY CONRAD WALL M.D.
RR 1 BOX 1000
LINTON, IN 47441-9482
Phone number: 812-847-4471
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Mailing Address
Dr. GREGORY CONRAD WALL M.D.
7144 AIGNER CT
INDIANAPOLIS, IN 46278-2301
Phone number: 317-875-9255
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