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1568153138
ANASTASIA WALLOGA
GADSDEN, AL
NPI
1568153138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
ANASTASIA WALLOGA DO
1007 GOODYEAR AVE
GADSDEN, AL 35903-1100
Phone number: 254-494-4000
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Mailing Address
ANASTASIA WALLOGA DO
1601 ROCKY BRANCH DR
FOREST, VA 24551-2949
Phone number: 832-585-9665
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