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1932186541
PAUL A WALLIS
CLEVELAND, OH
NPI
1932186541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50-001348)
Enumeration Date
2005-12-23
Last Update Date
2007-07-11
Business Address
-- PAUL A WALLIS PA-C
18697 BAGLEY RD
CLEVELAND, OH 44130-3417
Phone number: 440-816-8000
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Mailing Address
-- PAUL A WALLIS PA-C
PO BOX 634434
CINCINNATI, OH 45263-0001
Phone number: 440-879-0081
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