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1891362661
MOLLIE WALLER
DES MOINES, IA
NPI
1891362661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-12166)
Enumeration Date
2021-06-09
Last Update Date
2024-10-22
Business Address
MOLLIE WALLER DO
1801 HICKMAN RD
DES MOINES, IA 50314-1597
Phone number: 515-282-5640
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Mailing Address
MOLLIE WALLER DO
1229 C AVE E
OSKALOOSA, IA 52577-4246
Phone number: 641-672-3100
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