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1831319714
KELLY WALLS
NEW HAVEN, CT
NPI
1831319714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: CT 000956)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
KELLY WALLS PA-C
20 YORK ST # CB-2041 YNH MEDICAL SERVICES PC
NEW HAVEN, CT 06504-8900
Phone number: 203-688-4748
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Mailing Address
KELLY WALLS PA-C
20 YORK ST CB-2041
NEW HAVEN, CT 06504-8900
Phone number: 203-688-4748
Copy
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