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1982988648
JIMMY WALLS
LONG BEACH, CA
NPI
1982988648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- JIMMY WALLS
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 562-434-4455
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Mailing Address
-- JIMMY WALLS
2017 E 4TH ST
LONG BEACH, CA 90814-1001
Phone number: 562-434-4455
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