COLLEEN RAE WALLIS

HIBBING, MN
NPI1922066117
Former NameCOLLEEN RAE WALKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  R 1069736)
Enumeration Date2006-05-04
Last Update Date2013-07-11
Business Address
-- COLLEEN RAE WALLIS P.A.C.
3605 MAYFAIR AVE
HIBBING, MN 55746-2923
Phone number: 218-262-3441
Mailing Address
-- COLLEEN RAE WALLIS P.A.C.
3605 MAYFAIR AVE
HIBBING, MN 55746-2923
Phone number: 218-262-3441
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