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1679933220
JAMIE WALLER
GADSDEN, AL
NPI
1679933220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
JAMIE WALLER
723 BEREA AVE
GADSDEN, AL 35901-4155
Phone number: 256-312-8988
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Mailing Address
JAMIE WALLER
1303 BELLEVUE DR
GADSDEN, AL 35904-3622
Phone number: 256-295-8889
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