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Individual
MRS. MARJORIE ANNE WALL
Active
Individual
MRS. MARJORIE ANNE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
76682-030
WI
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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