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1700802964
TOR ERIK WILLIAM WALLSTROM
YUMA, AZ
NPI
1700802964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 25545)
Enumeration Date
2006-07-14
Last Update Date
2012-02-10
Business Address
-- TOR ERIK WILLIAM WALLSTROM M.D.
1394 W 16TH ST
YUMA, AZ 85364-4430
Phone number: 928-539-0055
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Mailing Address
-- TOR ERIK WILLIAM WALLSTROM M.D.
1394 W 16TH ST
YUMA, AZ 85364-4430
Phone number: 928-539-0055
Copy
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