GARY WALL

APEX, NC
NPI1427610435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   CPO04318)
Additional Taxonomies222Z00000X Orthotist
(Licence:   CPO04318)
Enumeration Date2019-07-01
Last Update Date2019-07-01
Business Address
GARY WALL CPO
1031 W WILLIAMS ST STE 104
APEX, NC 27502-3955
Phone number: 919-267-5284
Mailing Address
GARY WALL CPO
3708 FORESTVIEW RD STE 105
RALEIGH, NC 27612-2391
Phone number: 919-977-9727
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