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1619296548
DAVID M WALL
SANTA CRUZ, CA
NPI
1619296548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20951)
Enumeration Date
2010-05-17
Last Update Date
2023-08-24
Business Address
Mr. DAVID M WALL MPA, PA-C
1080 EMELINE AVE
SANTA CRUZ, CA 95060-1966
Phone number: 831-454-4100
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Mailing Address
Mr. DAVID M WALL MPA, PA-C
8053 VALENCIA ST
APTOS, CA 95003-4073
Phone number: 831-688-8680
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