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Individual

VANESSA WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152
Mailing address
623 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-2211
(870) 972-5152

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2652
AR

Other

Enumeration date
07/23/2010
Last updated
07/20/2012
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