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1851325831
LISA M WALLER
ATLANTA, GA
NPI
1851325831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NH 004516)
Enumeration Date
2006-07-10
Last Update Date
2007-07-08
Business Address
-- LISA M WALLER PAC
1100 LAKE HEARN DRIVE STE #450
ATLANTA, GA 30342
Phone number: 404-252-7339
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Mailing Address
-- LISA M WALLER PAC
1100 LAKE HEARN DRIVE STE 450
ATLANTA, GA 30342
Phone number: 404-252-7339
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