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1780963702
CHRISTOPHER BRIAN WALLS
JASPER, TN
NPI
1780963702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 15977)
Enumeration Date
2011-08-08
Last Update Date
2015-07-03
Business Address
MR. CHRISTOPHER BRIAN WALLS NP-C
980 HIGHWAY 28 SUITE 100
JASPER, TN 37347-3695
Phone number: 423-942-1602
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Mailing Address
MR. CHRISTOPHER BRIAN WALLS NP-C
980 HIGHWAY 28 SUITE 100
JASPER, TN 37347-3695
Phone number: 423-942-1602
Copy
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