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Individual
WALLY FERNANDO JAIMES GARCES
Active
Individual
WALLY FERNANDO JAIMES GARCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L.3201R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
10/14/2010
Last updated
02/24/2012
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