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1578067021
ANDREW JAMES WALL
BURLINGTON, VT
NPI
1578067021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-20
Last Update Date
2018-03-22
Business Address
ANDREW JAMES WALL MD
UVMMC 111 COLCHESTER AVENUE
BURLINGTON, VT 05401
Phone number: 802-847-2345
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Mailing Address
ANDREW JAMES WALL MD
21 FIELDSTONE DR
EAST SANDWICH, MA 02537-1359
Phone number: 508-314-6235
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