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1609906973
WALISA K MAYNARD
FARGO, ND
NPI
1609906973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: GA 50658)
Enumeration Date
2007-03-06
Last Update Date
2024-06-06
Business Address
Dr. WALISA K MAYNARD m.d.
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
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Mailing Address
Dr. WALISA K MAYNARD m.d.
4040 HOSPITAL WEST DR
AUSTELL, GA 30106-8117
Phone number: 770-732-6798
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