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1861900797
SHELBY TAYLOR WALL
AUSTIN, TX
NPI
1861900797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11719)
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
SHELBY TAYLOR WALL PA-C
901 W BEN WHITE BLVD
AUSTIN, TX 78704-6903
Phone number: 512-447-2211
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Mailing Address
SHELBY TAYLOR WALL PA-C
2001 SOUTH MOPAC EXPRESSWAY APT 1521
AUSTIN, TX 78746
Phone number: 765-432-0698
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