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1508138843
JOHN ROBERT WALLI
BILOXI, MS
NPI
1508138843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R850026)
Enumeration Date
2012-02-02
Last Update Date
2019-11-30
Business Address
JOHN ROBERT WALLI Nurse Practioner
16443 DELIA DR
BILOXI, MS 39532-9411
Phone number: 228-861-8505
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Mailing Address
JOHN ROBERT WALLI Nurse Practioner
16443 DELIA DR
BILOXI, MS 39532-9411
Phone number: 228-860-5164
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