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1497894117
PHILLY MARIE WALL
CEDAR RAPIDS, IA
NPI
1497894117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 001778)
Enumeration Date
2007-02-06
Last Update Date
2021-11-18
Business Address
PHILLY MARIE WALL P.A.
830 4TH AVE SE STE 1
CEDAR RAPIDS, IA 52403-2445
Phone number: 402-650-6765
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Mailing Address
PHILLY MARIE WALL P.A.
830 4TH AVE SE STE 1
CEDAR RAPIDS, IA 52403-2445
Phone number: 319-363-8121
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