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1558414482
ANITA M WALLER
CENTENNIAL, CO
NPI
1558414482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1661)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- ANITA M WALLER PA-C
6465 GREENWOOD PLAZA BLVD STE 300
CENTENNIAL, CO 80111-7101
Phone number: 303-267-3596
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Mailing Address
-- ANITA M WALLER PA-C
2315 HOOKER ST
DENVER, CO 80211-4530
Phone number: 303-433-4547
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