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1992030316
CARLY M WALLIS
ZANESVILLE, OH
NPI
1992030316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 50005259RX)
Enumeration Date
2009-10-04
Last Update Date
2021-01-26
Business Address
CARLY M WALLIS M.S., RPA-C
817 FOREST AVE
ZANESVILLE, OH 43701-2820
Phone number: 740-454-7546
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Mailing Address
CARLY M WALLIS M.S., RPA-C
817 FOREST AVE
ZANESVILLE, OH 43701-2820
Phone number: 740-454-7546
Copy
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