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1902138894
WILLIAM COREY WALL
RALEIGH, NC
NPI
1902138894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 136785)
Enumeration Date
2010-02-03
Last Update Date
2010-10-18
Business Address
Mr. WILLIAM COREY WALL CRNA
3100 SPRING FOREST RD
RALEIGH, NC 27616-2880
Phone number: 919-882-0768
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Mailing Address
Mr. WILLIAM COREY WALL CRNA
PO BOX 754
MORRISVILLE, NC 27560-0754
Phone number: 919-650-1930
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