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1407244007
MICHAEL ANDREW WALL
CLINTON, NC
NPI
1407244007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-05421)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- MICHAEL ANDREW WALL PA-C
1515 SUNSET AVE
CLINTON, NC 28328-3827
Phone number: 910-592-4000
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Mailing Address
-- MICHAEL ANDREW WALL PA-C
308 DOLPHIN DR
JACKSONVILLE, NC 28546-5266
Phone number: 910-346-2273
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