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Individual

CAROL WALKER ENNULAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237-7004
(412) 369-4000
(412) 369-7667
Mailing address
5900 CORPORATE DRIVE, SUITE 200, PITTSBURGH, PA 15237-7004
(412) 369-4000
(412) 369-7667

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052915
PA

Other

Enumeration date
02/25/2008
Last updated
02/25/2008
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