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1326681800
ELIZABETH WALLIS
EDINA, MN
NPI
1326681800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 13183)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
ELIZABETH WALLIS PA-C
7400 FRANCE AVE S STE 100
EDINA, MN 55435-4738
Phone number: 763-537-6000
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Mailing Address
ELIZABETH WALLIS PA-C
596 OTTAWA AVE
SAINT PAUL, MN 55107-2528
Phone number: 651-707-7771
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